US5895395A - Partial to full thickness suture device & method for endoscopic surgeries - Google Patents

Partial to full thickness suture device & method for endoscopic surgeries Download PDF

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US5895395A
US5895395A US08/896,106 US89610697A US5895395A US 5895395 A US5895395 A US 5895395A US 89610697 A US89610697 A US 89610697A US 5895395 A US5895395 A US 5895395A
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suture
needle
shape memory
tissue
recited
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US08/896,106
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Teresa T. Yeung
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Priority to US08/896,106 priority Critical patent/US5895395A/en
Priority to AU85761/98A priority patent/AU8576198A/en
Priority to PCT/US1998/014992 priority patent/WO1999003402A1/en
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    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0401Suture anchors, buttons or pledgets, i.e. means for attaching sutures to bone, cartilage or soft tissue; Instruments for applying or removing suture anchors
    • A61B2017/0406Pledgets
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0472Multiple-needled, e.g. double-needled, instruments
    • AHUMAN NECESSITIES
    • A61MEDICAL OR VETERINARY SCIENCE; HYGIENE
    • A61BDIAGNOSIS; SURGERY; IDENTIFICATION
    • A61B17/00Surgical instruments, devices or methods, e.g. tourniquets
    • A61B17/04Surgical instruments, devices or methods, e.g. tourniquets for suturing wounds; Holders or packages for needles or suture materials
    • A61B17/0469Suturing instruments for use in minimally invasive surgery, e.g. endoscopic surgery
    • A61B2017/0474Knot pushers

Definitions

  • This invention relates to devices and methods for delivering partial-thickness or full-thickness sutures in tissues endoscopically. This invention also relates to devices and methods used to minimize the strain and stress of shape memory materials.
  • Endoscopic used in this invention encompasses arthroscopic, laparoscopic, hysteroscopic and other procedures. Endoscopy is a surgical procedure which allows surgeons to manipulate instruments to view the surgical sites through small incisions in the bodies of patients.
  • An endoscopic surgery begins with puncturing holes through soft tissue such as skin and muscle. After the holes are made with sharp instruments, hollow cylindrical tubes called cannulas are inserted through the holes of the soft tissue. These cannulas serve as tunnels for the endoscope and surgical instruments reaching into the surgical site.
  • surgeons also require a distractor, an external fixation device which is screwed in through skin to the bones, spreading the femur from the tibia. This expands the knee joint and makes room to manipulate both the suture and the suture-retrieving instrument. Due to the tightness of joint space, often needles or instrument can accidentally scrape and damage the smooth surface of the joint, which given time, can potentially lead to osteoarthritis years after the surgery.
  • Some needles (U.S. Pat. No. 5,474,565 to Trott, 1995; U.S. Pat. No. 5,222,977 to Esser, 1993; U.S. Pat. No. 5,330,491 to Walker et. al.) are designed for endoscopic surgical use. These surgical needles require multiple cannula punctures and cumbersome suture manipulation to complete each stitch.
  • U.S. Pat. No. 5,250,055 to Moore et. al., 1993 proposed a tissue- fastening technique onto bone.
  • Moore's invention requires the drilling of two parallel holes in bone. The holes are then fitted with double barrels. A suture is attached to a non-hollow shape memory hook straightened by one barrel. As the straightened hook is pushed out of the barrel, the shape of the hook resumes and carves a tunnel in the bone reaching the second drilled hole.
  • Another barrel houses suture retrieving tweezers to pull the suture and complete the suture loop inside the bone. The suture is then used to tie down damaged tissues onto bone. This device is not frequently used because of the large holes it makes in the bone and the difficulty of retrieving the suture with the tweezers inside the bone.
  • biodegradable tacks and staples do not last long enough for the damaged tissue to heal before disintegrating. Many of these biodegradable implants also have serious biocompatibility problems which cause inflammation and other harmful cellular interactions. For the long lasting polymeric or metal tacks and staples, there is always the nagging potential problem of device migration, which can be devastating, especially into joints and nerves.
  • a suture can be guided, delivered, retrieved and tied through one opening in the skin with no additional suture retrieving instrument, for partial-thickness or full-thickness repairs.
  • the major components of this suturing device comprise of three needles.
  • a hollow suture-delivering needle mounts parallel or near parallel to a hollow suture-retrieving needle, with depth of penetration markings on the outsides of the needles visible to an endoscope.
  • the sharp tips of the needles are the distal ends of the needles.
  • a third, smaller gauged hollow shape memory needle, SMN made out of material such as nickel-titanium alloy, high carbon steel or polymer, is bent with its shape retained in a small semi-circular hook at and near the sharp tip, distal end, of the SMN.
  • the sharp hook of the SMN In its retracted position, the sharp hook of the SMN is housed and is partially straightened inside the suture delivering needle.
  • a strain, stress relief window is opened to the outside of the suture delivering needle, where the back of the hook is partially protruded from inside and exposed at or near the surface of the suture delivering needle.
  • a gliding slot with a tapering trough is made at the opening of the suture delivering needle allowing the sharp hook of the SMN to slide in and out of the distal opening of the suture delivering needle.
  • a hand operated lever connecting to the proximal portion of SMN pushes the hook out through the gliding slot of the suture delivering needle.
  • the sharp hook extends out of the delivering needle and follows a semi-circular path into a SMN receiving slot in the adjacent suture receiving needle.
  • a skin puncture is made through which a cannula is placed.
  • the repair site is examined with an endoscope, and the ideal placement of the suture is determined.
  • the endoscope is withdrawn from the cannula then inserted into an equipment inlet and protruded through an equipment outlet of the suture device.
  • the suture device is guided by the view transmitted by the endoscope to the surgical site.
  • the sharp suture delivering and suture receiving needles are pierced into the previously determined suture placement site. The depth of penetration of both needles are indicated by the penetration markings on the needles, visible to the endoscope.
  • the hook of SMN which is initially set in a retracted position, is deployed from the suture delivering needle into the SMN receiving slot of the suture receiving needle. Since the distal end of the SMN is sharp, it can pierce the tissue as it is deployed enroute to the SMN receiving slot of the suture receiving needle, forming a partial-thickness suturing. On the other hand, if the tissue is initially pierced through by both the suture delivering and suture receiving needles, and the hook of the SMN is deployed outside the tissue, then a full-thickness suturing will be formed.
  • a funnel is connected to the proximal opening of the SMN.
  • a long piece of flexible filament is fused and connected, tip to tip, with the braided suture; mono-filament sutures on the other hand can possibly be threaded directly without the aid of the flexible filament.
  • a wire or cable can be used.
  • the filament or mono-filament suture is advanced through the suture threading funnel into the inner bore and out of the distal opening of the SMN, then into the distal opening of the suture-receiving needle and out its proximal opening.
  • the suture is now in and around the repair site, with both ends of the suture outside the body of the patient.
  • the SMN Before suture tying, the SMN is retracted back into the suture delivering needle. The filament connecting to the braided suture is cut off. The suture device is withdrawn, leaving the suture in and around the surgical site.
  • partial or full-thickness suture can be placed depending on whether the SMN was deployed within or outside the surgical tissue. If the deployment was within the tissue, then it will be a partial-thickness suture repair. On the other hand, if the deployment was outside the tissue, then it will be a full-thickness suture repair. In some cases, it is also possible to have a combination of both partial and full-thickness suture repairs.
  • Slip knots are then tied and delivered with a knot pusher to the surface of the surgical site. Excess suture is cut off with endoscopic scissors to finish a stitch of suture repair. The process is repeated for multiple stitches to fasten tissues endoscopically, with partial-thickness or full-thickness suture repairs selected on a stitch by stitch basis.
  • SMN SMN to bridge the suture delivering and the suture receiving needles in this invention
  • two holes can be pre-drilled into cortical bone prior to inserting the suture delivering and receiving needles. Beneath the cortical bone, a much softer and porous trabecular bone can be pierced by the sharp SMN.
  • This invention has many advantages over tacks and staples. Sutures are being used and have been proven and well accepted as fastening devices in open and some endoscopic surgeries for a long time without significant adverse effects. On the other hand, use of tacks and staples as implants always bear concerns over their biocompatibilities, rates of resorption and creeping, and implant migrations. In this invention, well-placed sutures are the only implant materials, and using proven knot tying techniques mastered by all well trained endoscopic surgeons ensure a tight and trouble-free partial-thickness or full-thickness endoscopic suture repair.
  • this invention has the following possible benefits over the current instruments used in endoscopic suture repair:
  • FIG. 1A depicts a suture delivering needle, SDN, 1 on the right and a suture receiving needle, SRN, 10 on the left with a retracted shape memory needle, SMN, 7 mostly housed inside the bore of SDN 1; a substantial portion of a sharp hook of the SMN 7 occupies a strain, stress relief window, SRW, 5 on the SDN 1.
  • FIG. 1B depicts the same needles as FIG. 1A, but the SMN 7 is in a deployed position bridging the gap between SDN 1 and SRN 10 with the SMN 7 extending into a receiving slot 12.
  • FIG. 1C depicts an internal construction of a suture device with the SMN 7 in a retracted position; a suture threading funnel 18 connecting to a SMN proximal beveled opening 9; an operating lever 17; an equipment inlet 15 and a suture outlet 20.
  • FIG. 2 depicts side and back views of the suture device with the SMN 7 in a retracted position, with the hook housed inside the SDN 1 on the right.
  • FIG. 3 depicts side and front views of the suture device with the SMN 7 retracted as indicated in FIG. 2.
  • Penetration markers 13 on both the SDN 1 and SRN 10 are visible by an endoscope (not shown) extending from an equipment outlet 16 between the needles.
  • FIG. 4 depicts the same views as FIG. 2 with a deployed SMN 7 into the adjacent SRN 10.
  • FIG. 5A depicts an arthroscope 27 guiding the penetration of the suture device through a small skin opening 23 (cannula not shown) into a tom meniscus 24 for a partial-thickness suture repair.
  • FIG. 5B depicts an enlarged and longitudinal mid-section of the needles, with the SMN 7 in a retracted position.
  • FIG. 6A depicts the deployment of the SMN 7 in a torn meniscus 24. (The arthroscope removal following this deployment is not shown).
  • FIG. 6B depicts an enlarged and longitudinal mid-section of the needles with the SMN 7 in a deployed position bridging between SDN distal opening 2 and SRN distal opening 11.
  • FIG. 7A depicts a suture threading process into the device through a suture threading funnel 18, into a SMN proximal beveled opening 9 (see FIG. 1C), using the pushing and twisting motion on a filament 22 connecting to a soft suture 21.
  • FIG. 7B depicts an enlarged and longitudinal mid-section of the needles with the filament 22 connected to the suture 21 passing through the SMN 7 from the SDN 1 into a receiving slot 12 opened to the SRN distal opening 11.
  • FIG. 8A depicts the cutting of the filament 22, after leading the suture 21 in, through and around the meniscal tear 24, and coming out of a suture outlet 20 of the device.
  • FIG. 8B depicts an enlarged and longitudinal mid-section of the needles with the suture 21 looped around the meniscal tear 24 from the SDN 1 to the SRN 10 bridged by the SMN 7.
  • FIG. 9A depicts a process of retracting the SMN 7, leaving only the suture 21 joining between the SDN 1 and the SRN 10.
  • FIG. 9B depicts an enlarged and longitudinal mid-section of the needles with a retracted SMN 7, leaving only the suture 21 joining between the SDN distal opening 2 and the SRN distal opening 11.
  • FIG. 10A depicts a process of withdrawing the suture device with the suture 21 remaining at the repair site.
  • FIG. 10B depicts an enlarged and longitudinal mid-section of the withdrawn needles with the suture 21 remaining at the repair site.
  • FIG. 11A depicts the partial-thickness placement of the suture 21 in the meniscal tear 24 with the suture device withdrawn.
  • FIG. 11B depicts an enlarged view of the suture 21 in and around the meniscal tear 24.
  • FIG. 12 depicts a suture tying process using a knot pusher 26 tying a slip knot to fasten the torn portion of meniscus 24.
  • FIG. 13 depicts a partial-thickness suture repair of a meniscal tear. Excess suture 21 is cut off with endoscopic scissors 6.
  • FIG. 14 depicts an arthroscopically guided full-thickness suture repair of a partially tom anterior cruciate ligament 25, with the SMN 7 in a deployed position.
  • FIG. 15 depicts a full-thickness suture repair of a torn anterior cruciate ligament 25.
  • FIG. 16 depicts a strain, stress relief window, SRW, 5, a gliding slot 3 and a trough 4 of the SDN 1 for housing and deploying the SMN 7 (not shown).
  • FIG. 17A depicts a preferred tip sharpening of a SMN distal opening 8 indicated in a deployed position and the preferred angle opening of SRW 5.
  • FIG. 17B depicts, in retracted position, the locations of the SMN distal opening 8 resting on the trough 4 slightly outside the inner bore of SDN 1; and the hook portion of SMN 7 is partially straightened inside the SDN 1 and partially occupying the SRW 5.
  • FIG. 18A depicts a preferred lateral-cut angle of a receiving slot 12 on the SRN 10.
  • FIG. 18B depicts a right-angle lateral-cut of the receiving slot 12 on the SRN 10.
  • FIG. 18C depicts an acute-angle lateral-cut of the receiving slot 12 on the SRN 10.
  • needle is used to describe a needle with tissue puncturing capability, as well as a lumen or an inside bore allowing sutures to pass through.
  • Stainless steel is the preferred material for the suture delivering needle, SDN, 1 and the suture receiving needle, SRN, 10.
  • the shape memory needle, SMN, 7 on the other hand, is best made of nickel titanium alloy or other shape memory alloys sharpened on the inner circumference of the bend, as depicted in FIG. 17A.
  • the preferred materials to use for the handle 19, body 14 and the shape memory needle operating lever 17 are metal or polymer tolerant to multi-sterilization cycles of autoclave, gamma-irradiation, electron-beam irradiation or ethylene oxide.
  • the suture 21 material can be natural, synthetic, bioabsorbable, non-absorbable, braided, monofilament or metallic.
  • the suture 21 can also be incorporated with blood clot residues, cells, growth factors, tissue healing factors, nutrients, minerals, antibiotics, adhesives, lubricants or other substance.
  • the preferred material for the filament 22 is a flexible and pushable monofilament polymer tolerant to sterilization methods, such as autoclave, gamma-irradiation, electron-beam irradiation or ethylene oxide.
  • the preferred connection between the filament 22 and the suture 21 is tip to tip fused by heat, light, ultrasound or adhesives.
  • the outer diameters of both filament 22 and suture 21 are preferred to be smaller than the inner diameter of the SMN 7.
  • a strain, stress relief window, SRW 5 is opened at the side of the SDN 1, indicated in FIGS. 16, 17A and 17B.
  • the lateral sectional cut of the SRW 5 is preferred at angles to taper the curvature of the bent portion of SMN 7 as indicated in FIG. 17B.
  • the SRW 5 also provides the directional guidance for the deployment of the materials. In this invention, directional guidance of the SMN 7 is predetermined specifically for bridging the gap between the SDN 1 and SRN 10.
  • the SRW 5 is fully penetrated or opened from the inside bore to outside wall of the SDN 1.
  • another design of the SRW 5 can be an elongated indentation carved from the inside of the bore but not fully opened to the outside wall of the SDN 1.
  • the gliding slot 3 and the trough 4, indicated in FIG. 16 are other devices in this invention used to reduce the strain and stress of shape memory material, such as the SMN 7.
  • the trough 4 is carved at the inside bore of the SDN 1, tapering distally to the outer edge of the gliding slot 3.
  • the angle of tapering provides a smooth gliding surface for the preferred sharpened angle of SMN 7 depicted in FIGS. 17A and 17B.
  • the tapering trough 4 and the gliding slot 3 provides four possible major benefits: (1) to minimize grinding and dulling of the sharpened tip of SMN 7, (2) to allow the sharpened tip of the SMN 7 in retracted position to house outside the bore of the SDN 1 thereby further minimizing the strain on the SMN 7, (3) to lighten the forces required to deploy the SMN 7, and (4) to orient the direction of deployment of the SMN 7.
  • Both the gliding slot 3 and SRW 5 are essential to providing the directional guidance during the deployment of the shape memory element, in this invention the SMN 7.
  • the direction of deployment is crucial for proper insertion of the SMN 7 into the receiving slot 12 of the SRN 10.
  • FIGS. 18A, 18B and 18C the preferred angle of longitudinal opening of the receiving slot 12 is depicted in FIGS. 18A, 18B and 18C.
  • the lateral-cut angle of the receiving slot 12 depicted in FIG. 18A is preferred over the angles depicted in FIGS. 18B and 18C to avoid tissue snagging and possible closure of the SMN receiving slot 12.
  • a wire can be inserted into the suture outlet 20 and passed down the bore of the SRN 10 to clear the closure.
  • a wire can also be used to clear a closure of the SMN 7 prior to passing the filament 22 and suture 21 through the SMN.
  • a body 14 is used to fix both needles stationary and to shorten the twistable length of the exposed SDN 1 and SRN 10.
  • the suture threading process can be facilitated by a suture threading funnel 18 leading into a smaller proximal beveled bore 9 of SMN, as depicted in FIG. 1C.

Abstract

This invention relates to devices and methods for making partial thickness or full thickness sutures in tissues endoscopically. The preferred embodiment comprises a suture delivering needle and a suture receiving needle which are in substantially parallel alignment. A shape memory needle with a pre-formed semi-circular shape is used to bridge a gap formed between the suture delivery needle and receiving needle. In preparation for a surgical procedure, the shape memory needle is retracted and partially straightened in the suture delivering needle. After determining the placement of suture, the suture delivering and suture receiving needles are pierced into the repairing tissue. The semi-circular shape memory needle is deployed and resumes the appropriate pre-formed shape while piercing the tissue and extending into the distal opening of the suture receiving needle. A suture is then passed down from the proximal opening of the shape memory needle into the distal opening of the suture receiving needle, then out of the proximal opening of the receiving needle. The shape memory needle is then retracted back into the suture delivering needle, leaving only the suture bridging the distal openings of the delivery needle and receiving needle. The suture device is then withdrawn and the suture is tied to fasten the tissue.
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NUMERAL REFERENCES IN DRAWINGS ______________________________________ Suture Delivering Needle (SDN) 1 SDN Distal Opening 2 Gliding Slot 3 Trough 4 Strain, Stress Relief Window (SRW) 5 Endoscopic Scissors 6 Shape Memory Needle (SMN) 7 SMN Distal Opening 8 SMN Proximal Beveled Opening 9 Suture Receiving Needle (SRN) 10 SRN Distal Opening 11 Receiving Slot for SMN 12 Penetration Markers 13 Body 14 Equipment Inlet 15 Equipment Outlet 16 Operating Lever 17 Suture Threading Funnel 18 Handle 19 Suture Outlet 20 Suture 21 Filament 22 Skin Opening (Cannula not shown) 23 Meniscal Tear 24 Anterior Cruciate Ligament Tear 25 Knot Pusher 26 Arthroscope 27 ______________________________________

Description

BACKGROUND OF THE INVENTION
1. Field of the Invention
This invention relates to devices and methods for delivering partial-thickness or full-thickness sutures in tissues endoscopically. This invention also relates to devices and methods used to minimize the strain and stress of shape memory materials.
2. Description of Prior Art
In recent years, much attention has been given to control surgical costs. One of the cost saving approaches is to accelerate the speed of recovery and shorten hospital stays after surgeries. Beyond cost savings, for the comfort and safety of patients, minimally invasive or endoscopic surgeries are becoming more and more popular. The term "endoscopic" used in this invention encompasses arthroscopic, laparoscopic, hysteroscopic and other procedures. Endoscopy is a surgical procedure which allows surgeons to manipulate instruments to view the surgical sites through small incisions in the bodies of patients.
An endoscopic surgery begins with puncturing holes through soft tissue such as skin and muscle. After the holes are made with sharp instruments, hollow cylindrical tubes called cannulas are inserted through the holes of the soft tissue. These cannulas serve as tunnels for the endoscope and surgical instruments reaching into the surgical site.
In order to minimize both the patients' trauma and potential damage to nerves, blood vessels and other tissues, it is clearly desirable to minimize the size and number of holes puncturing the patients. Take meniscal repair in the knee for example, the current arthroscopic procedure requires one hole for the arthroscope, one hole for a needle to deliver a suture and another hole for a suture-retrieving instrument to complete one suture stitch (Arthroscopic Surgery by L. Johnson, M.D.; Knee Surgery by F. Fu, M.D., et al.; Traumatic Disorders of the Knee by J. Siliski, M.D.; and Knee Surgery Current Practice by P. Aichroth, FRCS et al.). A minimum of three holes are made for the arthroscopic repair. In some cases, surgeons also require a distractor, an external fixation device which is screwed in through skin to the bones, spreading the femur from the tibia. This expands the knee joint and makes room to manipulate both the suture and the suture-retrieving instrument. Due to the tightness of joint space, often needles or instrument can accidentally scrape and damage the smooth surface of the joint, which given time, can potentially lead to osteoarthritis years after the surgery.
Arthroscopic and endoscopic suturing are done with a full-thickness technique, where sutures penetrate all the way through a tissue for each stitch. In the case of meniscal repair, the full-thickness suture repair can potentially cause long term problems, including osteoarthritis, from the constant rubbing of a very smooth joint surface to the exposed suture on the surface of the meniscus. Unless the damaged tissues can be lifted, shifted or somehow separated from crowded adjacent tissues, endoscopic procedures usually cannot be performed due to insufficient space for manipulating sutures and instruments. In these cases and others, conventional open surgery using partial-thickness suturing techniques with a curved needle, where the suture enters and loops back out without full-thickness penetration, is pursued for the repair.
Some needles (U.S. Pat. No. 5,474,565 to Trott, 1995; U.S. Pat. No. 5,222,977 to Esser, 1993; U.S. Pat. No. 5,330,491 to Walker et. al.) are designed for endoscopic surgical use. These surgical needles require multiple cannula punctures and cumbersome suture manipulation to complete each stitch.
In summary, the current instruments used in endoscopic procedures have one or more of the following drawbacks or restrictions:
(A) Increased surgical trauma due to multiple puncture wounds needed to accommodate suture manipulation and retrieving instruments.
(B) Increased risk of damaging nerves, blood vessels, joint cartilage or adjacent tissues with multiple punctures and suture manipulation.
(C) Lengthened surgical time.
(D) Restricted by space required around and behind the surgical site.
(E) Limited to full-thickness suture repair.
Another invention, U.S. Pat. No. 5,250,055 to Moore et. al., 1993, proposed a tissue- fastening technique onto bone. Moore's invention requires the drilling of two parallel holes in bone. The holes are then fitted with double barrels. A suture is attached to a non-hollow shape memory hook straightened by one barrel. As the straightened hook is pushed out of the barrel, the shape of the hook resumes and carves a tunnel in the bone reaching the second drilled hole. Another barrel houses suture retrieving tweezers to pull the suture and complete the suture loop inside the bone. The suture is then used to tie down damaged tissues onto bone. This device is not frequently used because of the large holes it makes in the bone and the difficulty of retrieving the suture with the tweezers inside the bone.
Recently, tacks (U.S. Pat. No. 5,398,861 to Green, 1995; U.S. Pat. No. 5,059,206 to Winters, 1991; U.S. Pat. No. 4,895,148 to Bays et. al., 1990) and staples (U.S. Pat. No. 5,374,268 to Sander, 1994; U.S. Pat. No. 5,154,189 to Oberlander et. al., 1992) made out of polymers and metals have been used as permanent implants to hold torn tissues in place. Very few of these devices have the holding strength of sutures. With time, some tacks and staples creep and leave gaps in the supposed closure sites. Some biodegradable tacks and staples do not last long enough for the damaged tissue to heal before disintegrating. Many of these biodegradable implants also have serious biocompatibility problems which cause inflammation and other harmful cellular interactions. For the long lasting polymeric or metal tacks and staples, there is always the nagging potential problem of device migration, which can be devastating, especially into joints and nerves.
SUMMARY OF INVENTION
In this invention, a suture can be guided, delivered, retrieved and tied through one opening in the skin with no additional suture retrieving instrument, for partial-thickness or full-thickness repairs.
The major components of this suturing device comprise of three needles. A hollow suture-delivering needle mounts parallel or near parallel to a hollow suture-retrieving needle, with depth of penetration markings on the outsides of the needles visible to an endoscope. The sharp tips of the needles are the distal ends of the needles. A third, smaller gauged hollow shape memory needle, SMN, made out of material such as nickel-titanium alloy, high carbon steel or polymer, is bent with its shape retained in a small semi-circular hook at and near the sharp tip, distal end, of the SMN.
In its retracted position, the sharp hook of the SMN is housed and is partially straightened inside the suture delivering needle. To minimize the strain and stress exerted on the shape memory hook by the inside bore of the suture delivering needle, a strain, stress relief window is opened to the outside of the suture delivering needle, where the back of the hook is partially protruded from inside and exposed at or near the surface of the suture delivering needle. On the opposite side of the strain, stress relief window, a gliding slot with a tapering trough is made at the opening of the suture delivering needle allowing the sharp hook of the SMN to slide in and out of the distal opening of the suture delivering needle.
To deploy the SMN, a hand operated lever connecting to the proximal portion of SMN pushes the hook out through the gliding slot of the suture delivering needle. In a deployed position, the sharp hook extends out of the delivering needle and follows a semi-circular path into a SMN receiving slot in the adjacent suture receiving needle.
To initiate an endoscopic surgical procedure, a skin puncture is made through which a cannula is placed. The repair site is examined with an endoscope, and the ideal placement of the suture is determined. After examination, the endoscope is withdrawn from the cannula then inserted into an equipment inlet and protruded through an equipment outlet of the suture device. Through the cannula, the suture device is guided by the view transmitted by the endoscope to the surgical site. The sharp suture delivering and suture receiving needles are pierced into the previously determined suture placement site. The depth of penetration of both needles are indicated by the penetration markings on the needles, visible to the endoscope. When the ideal depth is reached, the hook of SMN, which is initially set in a retracted position, is deployed from the suture delivering needle into the SMN receiving slot of the suture receiving needle. Since the distal end of the SMN is sharp, it can pierce the tissue as it is deployed enroute to the SMN receiving slot of the suture receiving needle, forming a partial-thickness suturing. On the other hand, if the tissue is initially pierced through by both the suture delivering and suture receiving needles, and the hook of the SMN is deployed outside the tissue, then a full-thickness suturing will be formed.
For ease of suture threading, the endoscope can now be withdrawn from the device. To aid in the suture threading process, a funnel is connected to the proximal opening of the SMN. For surgical operations in which braided sutures are preferred, a long piece of flexible filament is fused and connected, tip to tip, with the braided suture; mono-filament sutures on the other hand can possibly be threaded directly without the aid of the flexible filament. For repairs which required high tensile strength, instead of suture, a wire or cable can be used. Using pushing and twisting motions on the filament, the filament or mono-filament suture is advanced through the suture threading funnel into the inner bore and out of the distal opening of the SMN, then into the distal opening of the suture-receiving needle and out its proximal opening. The suture is now in and around the repair site, with both ends of the suture outside the body of the patient.
For a SMN with a small hook, it can be difficult to push the suture or filament along a small semi-circle path inside the SMN. Instead of following the semi-circle path of a deployed hook, while the hook is partially straightened inside the suture delivering needle, the suture can more easily be advanced until the tip of the suture or filament is pushed near the distal opening of the straightened hook. As the partially straightened hook is deployed resuming the shape of the hook with the suture inside, the tip section of the suture or filament is already around the small semi-circle, the most difficult segment of the suture passing route. The rest of the suture passing can then be easily advanced through the inner bore and out the proximal opening of the suture receiving needle.
Before suture tying, the SMN is retracted back into the suture delivering needle. The filament connecting to the braided suture is cut off. The suture device is withdrawn, leaving the suture in and around the surgical site.
As mentioned earlier, partial or full-thickness suture can be placed depending on whether the SMN was deployed within or outside the surgical tissue. If the deployment was within the tissue, then it will be a partial-thickness suture repair. On the other hand, if the deployment was outside the tissue, then it will be a full-thickness suture repair. In some cases, it is also possible to have a combination of both partial and full-thickness suture repairs.
Slip knots are then tied and delivered with a knot pusher to the surface of the surgical site. Excess suture is cut off with endoscopic scissors to finish a stitch of suture repair. The process is repeated for multiple stitches to fasten tissues endoscopically, with partial-thickness or full-thickness suture repairs selected on a stitch by stitch basis.
Furthermore, the utilization of a SMN to bridge the suture delivering and the suture receiving needles in this invention can also be used to pass suture into bone. For example, two holes can be pre-drilled into cortical bone prior to inserting the suture delivering and receiving needles. Beneath the cortical bone, a much softer and porous trabecular bone can be pierced by the sharp SMN.
This invention has many advantages over tacks and staples. Sutures are being used and have been proven and well accepted as fastening devices in open and some endoscopic surgeries for a long time without significant adverse effects. On the other hand, use of tacks and staples as implants always bear concerns over their biocompatibilities, rates of resorption and creeping, and implant migrations. In this invention, well-placed sutures are the only implant materials, and using proven knot tying techniques mastered by all well trained endoscopic surgeons ensure a tight and trouble-free partial-thickness or full-thickness endoscopic suture repair.
In summary, this invention has the following possible benefits over the current instruments used in endoscopic suture repair:
(A) Single puncture wound needed to place, manipulate and retrieve a suture.
(B) Minimal risk of damaging nerves, blood vessels, joint cartilage or adjacent tissues with single puncture and minimal suture manipulation.
(C) Shortened surgical time.
(D) Minimal space required around and behind the surgical site.
(E) Capable in accomplishing both full-thickness as well as partial-thickness suture repair.
BRIEF DETAILED DESCRIPTION OF THE DRAWINGS
FIG. 1A depicts a suture delivering needle, SDN, 1 on the right and a suture receiving needle, SRN, 10 on the left with a retracted shape memory needle, SMN, 7 mostly housed inside the bore of SDN 1; a substantial portion of a sharp hook of the SMN 7 occupies a strain, stress relief window, SRW, 5 on the SDN 1.
FIG. 1B depicts the same needles as FIG. 1A, but the SMN 7 is in a deployed position bridging the gap between SDN 1 and SRN 10 with the SMN 7 extending into a receiving slot 12.
FIG. 1C depicts an internal construction of a suture device with the SMN 7 in a retracted position; a suture threading funnel 18 connecting to a SMN proximal beveled opening 9; an operating lever 17; an equipment inlet 15 and a suture outlet 20.
FIG. 2 depicts side and back views of the suture device with the SMN 7 in a retracted position, with the hook housed inside the SDN 1 on the right.
FIG. 3 depicts side and front views of the suture device with the SMN 7 retracted as indicated in FIG. 2. Penetration markers 13 on both the SDN 1 and SRN 10 are visible by an endoscope (not shown) extending from an equipment outlet 16 between the needles.
FIG. 4 depicts the same views as FIG. 2 with a deployed SMN 7 into the adjacent SRN 10.
FIG. 5A depicts an arthroscope 27 guiding the penetration of the suture device through a small skin opening 23 (cannula not shown) into a tom meniscus 24 for a partial-thickness suture repair.
FIG. 5B depicts an enlarged and longitudinal mid-section of the needles, with the SMN 7 in a retracted position.
FIG. 6A depicts the deployment of the SMN 7 in a torn meniscus 24. (The arthroscope removal following this deployment is not shown).
FIG. 6B depicts an enlarged and longitudinal mid-section of the needles with the SMN 7 in a deployed position bridging between SDN distal opening 2 and SRN distal opening 11.
FIG. 7A depicts a suture threading process into the device through a suture threading funnel 18, into a SMN proximal beveled opening 9 (see FIG. 1C), using the pushing and twisting motion on a filament 22 connecting to a soft suture 21.
FIG. 7B depicts an enlarged and longitudinal mid-section of the needles with the filament 22 connected to the suture 21 passing through the SMN 7 from the SDN 1 into a receiving slot 12 opened to the SRN distal opening 11.
FIG. 8A depicts the cutting of the filament 22, after leading the suture 21 in, through and around the meniscal tear 24, and coming out of a suture outlet 20 of the device.
FIG. 8B depicts an enlarged and longitudinal mid-section of the needles with the suture 21 looped around the meniscal tear 24 from the SDN 1 to the SRN 10 bridged by the SMN 7.
FIG. 9A depicts a process of retracting the SMN 7, leaving only the suture 21 joining between the SDN 1 and the SRN 10.
FIG. 9B depicts an enlarged and longitudinal mid-section of the needles with a retracted SMN 7, leaving only the suture 21 joining between the SDN distal opening 2 and the SRN distal opening 11.
FIG. 10A depicts a process of withdrawing the suture device with the suture 21 remaining at the repair site.
FIG. 10B depicts an enlarged and longitudinal mid-section of the withdrawn needles with the suture 21 remaining at the repair site.
FIG. 11A depicts the partial-thickness placement of the suture 21 in the meniscal tear 24 with the suture device withdrawn.
FIG. 11B depicts an enlarged view of the suture 21 in and around the meniscal tear 24.
FIG. 12 depicts a suture tying process using a knot pusher 26 tying a slip knot to fasten the torn portion of meniscus 24.
FIG. 13 depicts a partial-thickness suture repair of a meniscal tear. Excess suture 21 is cut off with endoscopic scissors 6.
FIG. 14 depicts an arthroscopically guided full-thickness suture repair of a partially tom anterior cruciate ligament 25, with the SMN 7 in a deployed position.
FIG. 15 depicts a full-thickness suture repair of a torn anterior cruciate ligament 25.
FIG. 16 depicts a strain, stress relief window, SRW, 5, a gliding slot 3 and a trough 4 of the SDN 1 for housing and deploying the SMN 7 (not shown).
FIG. 17A depicts a preferred tip sharpening of a SMN distal opening 8 indicated in a deployed position and the preferred angle opening of SRW 5.
FIG. 17B depicts, in retracted position, the locations of the SMN distal opening 8 resting on the trough 4 slightly outside the inner bore of SDN 1; and the hook portion of SMN 7 is partially straightened inside the SDN 1 and partially occupying the SRW 5.
FIG. 18A depicts a preferred lateral-cut angle of a receiving slot 12 on the SRN 10.
FIG. 18B depicts a right-angle lateral-cut of the receiving slot 12 on the SRN 10.
FIG. 18C depicts an acute-angle lateral-cut of the receiving slot 12 on the SRN 10.
DESCRIPTION OF THE PREFERRED EMBODIMENT
The word "needle" is used to describe a needle with tissue puncturing capability, as well as a lumen or an inside bore allowing sutures to pass through. Stainless steel is the preferred material for the suture delivering needle, SDN, 1 and the suture receiving needle, SRN, 10. The shape memory needle, SMN, 7 on the other hand, is best made of nickel titanium alloy or other shape memory alloys sharpened on the inner circumference of the bend, as depicted in FIG. 17A. The preferred materials to use for the handle 19, body 14 and the shape memory needle operating lever 17 are metal or polymer tolerant to multi-sterilization cycles of autoclave, gamma-irradiation, electron-beam irradiation or ethylene oxide.
The suture 21 material can be natural, synthetic, bioabsorbable, non-absorbable, braided, monofilament or metallic. The suture 21 can also be incorporated with blood clot residues, cells, growth factors, tissue healing factors, nutrients, minerals, antibiotics, adhesives, lubricants or other substance.
The preferred material for the filament 22 is a flexible and pushable monofilament polymer tolerant to sterilization methods, such as autoclave, gamma-irradiation, electron-beam irradiation or ethylene oxide. The preferred connection between the filament 22 and the suture 21 is tip to tip fused by heat, light, ultrasound or adhesives. The outer diameters of both filament 22 and suture 21 are preferred to be smaller than the inner diameter of the SMN 7.
All known shape memory materials can lose or partially lose their shape memory with excessive strain, stress or heat upon the materials. To minimize the mechanical strain on the SMN 7 inside the SDN 1, a strain, stress relief window, SRW 5, is opened at the side of the SDN 1, indicated in FIGS. 16, 17A and 17B. The lateral sectional cut of the SRW 5 is preferred at angles to taper the curvature of the bent portion of SMN 7 as indicated in FIG. 17B. In addition to providing strain and stress relief for shape memory materials, such as the SMN 7, the SRW 5 also provides the directional guidance for the deployment of the materials. In this invention, directional guidance of the SMN 7 is predetermined specifically for bridging the gap between the SDN 1 and SRN 10.
As indicated in FIGS. 16, 17A and 17B, the SRW 5 is fully penetrated or opened from the inside bore to outside wall of the SDN 1. Although possibly less effective in relieving the strain and stress and in directing the path of deployment of a shape memory element, another design of the SRW 5 can be an elongated indentation carved from the inside of the bore but not fully opened to the outside wall of the SDN 1.
The gliding slot 3 and the trough 4, indicated in FIG. 16 are other devices in this invention used to reduce the strain and stress of shape memory material, such as the SMN 7. The trough 4 is carved at the inside bore of the SDN 1, tapering distally to the outer edge of the gliding slot 3. The angle of tapering provides a smooth gliding surface for the preferred sharpened angle of SMN 7 depicted in FIGS. 17A and 17B. The tapering trough 4 and the gliding slot 3 provides four possible major benefits: (1) to minimize grinding and dulling of the sharpened tip of SMN 7, (2) to allow the sharpened tip of the SMN 7 in retracted position to house outside the bore of the SDN 1 thereby further minimizing the strain on the SMN 7, (3) to lighten the forces required to deploy the SMN 7, and (4) to orient the direction of deployment of the SMN 7. Both the gliding slot 3 and SRW 5 are essential to providing the directional guidance during the deployment of the shape memory element, in this invention the SMN 7. The direction of deployment is crucial for proper insertion of the SMN 7 into the receiving slot 12 of the SRN 10.
To ensure the proper insertion of the SMN 7 into the receiving slot 12, the preferred angle of longitudinal opening of the receiving slot 12 is depicted in FIGS. 18A, 18B and 18C. During the initial tissue piercing with the SRN 10 along with the SDN 1, the lateral-cut angle of the receiving slot 12 depicted in FIG. 18A is preferred over the angles depicted in FIGS. 18B and 18C to avoid tissue snagging and possible closure of the SMN receiving slot 12.
In case closure of the SRN distal opening 11 results from tissue entrapment during tissue piercing, a wire can be inserted into the suture outlet 20 and passed down the bore of the SRN 10 to clear the closure. Similarly, a wire can also be used to clear a closure of the SMN 7 prior to passing the filament 22 and suture 21 through the SMN.
During surgeries, the SDN 1 and the SRN 10 can mistakenly be twisted by surgeons, causing the SMN 7 to mis-entering into the receiving slot 12. To minimize the twisting, a body 14 is used to fix both needles stationary and to shorten the twistable length of the exposed SDN 1 and SRN 10.
The suture threading process can be facilitated by a suture threading funnel 18 leading into a smaller proximal beveled bore 9 of SMN, as depicted in FIG. 1C.
It should be clear to one skilled in the art that the current embodiment and surgical sites are not the only use for which the invention may be used. Different materials for the needles, body, handle, lever, suture, filament and other components can be used. The use of this invention is also foreseen in other surgical operations to repair various tissues, such as tendon, ligament, muscle, cartilage, skin, bone, organ, tissue grafting and others.

Claims (21)

What I claim is:
1. A suture device comprising:
(a) a body having a proximal end, a distal end, and plurality of holes in substantially parallel alignment running from said proximal end to said distal end;
(b) a handle located substantially near said proximal end of said body;
(c) a plurality of needles fixed longitudinally through said plurality of holes and extending out of said body, said plurality of needles having proximal openings, distal tips, distal openings, inside bores, and said distal tips spaced apart by gaps;
(d) said plurality of needles possess a first needle and a second needle;
(e) a shape memory needle longitudinally and slidably housed in said first needle, said shape memory needle having an inside bore, a proximal opening, a distal opening, a distal tip, a hook substantially near said distal opening, and a suture threading means connected to said proximal opening;
(f) an operating means to slide said shape memory needle along said first needle;
(g) said shape memory needle having a retracted position, wherein said hook is substantially housed in said first needle;
(h) said shape memory needle having a deployed position, wherein said distal opening of said hook is substantially inserted into said distal opening of said second needle; and
(i) a suture passing from said suture threading means, into said proximal opening and out of said distal opening of said shape memory needle; then into said distal opening of said second needle and exiting through said proximal opening of said second needle.
2. A suture device as recited in claim 1, wherein said body is curved.
3. A suture device as recited in claim 1, wherein said first needle further comprising:
(a) a strain, stress relief window fitting to said hook;
(b) a gliding slot opened to said distal opening;
(c) a trough carved from said inside bore; and
(d) penetration markers.
4. A suture device as recited in claim 3, wherein said strain, stress relief window opens from said inside bore to outside wall of said first needle.
5. A suture device as recited in claim 3, wherein said strain, stress relief window opens from said inside bore but does not penetrate outside wall of said first needle.
6. A suture device as recited in claim 1, wherein said second needle further comprising:
(a) a receiving slot opened to said distal opening of said second needle;
(b) said proximal opening opened to outside of said proximal end of said body; and
(c) penetration markers.
7. A suture device as recited in claim 1, wherein said shape memory needle further comprising:
(a) a sharp distal tip and a proximal beveled opening; and
(b) said hook located substantially near said sharp distal tip.
8. A suture device as recited in claim 7, wherein said shape memory needle is comprised of any material having the characteristics of being shapable under a non-operating condition and resiliently retaining the shape after substantially straightened in an operating condition.
9. A suture device as recited in claim 1, wherein said suture threading means is a funnel.
10. A suture device as recited in claim 1, wherein said operating means is a lever.
11. A suture device as recited in claim 1, wherein said suture further comprises a flexible and pushable filament.
12. A suture device as recited in claim 1, wherein said suture further comprises a substance.
13. A suture device as recited in claim 1, wherein said suture is a wire.
14. A suture device as recited in claim 1, wherein said suture is a cable.
15. A suture device as recited in claim 1, wherein said plurality of needles are curved.
16. A suture device as recited in claim 1, wherein said plurality of entries and outlets are equipment inlets and outlets.
17. A method of endoscopically suturing tissue using said suture device as recited in claim 1 comprises the steps of:
(a) placing a cannula substantially close to a site of surgical operation;
(b) setting said shape memory needle in said retracted position;
(c) inserting an endoscope into an equipment inlet and extending out an equipment outlet;
(d) inserting said suture device with said endoscope into said cannula;
(e) guiding by said endoscope, piercing tissue to be sutured with at least one, preferring both said first and second needles;
(f) threading said suture through said suture threading means into said proximal opening of said shape memory needle;
(g) passing said suture longitudinally along said inside bore to said distal opening of said shape memory needle;
(h) deploying said hook of said shape memory needle into a receiving slot of said second needle;
(i) continue passing said suture through said receiving slot into said inner bore of second needle;
(j) retrieving said suture from said proximal opening of said second needle outside said suture device;
(k) retracting said hook, leaving said suture between said distal openings of said first needle and said second needle;
(l) withdrawing said endoscope from said equipment inlet;
(m) withdrawing said suture device from said site of surgical operation, leaving said suture in said tissue;
(n) tying and delivering slip knot to said tissue;
(o) cutting off excess suture; and
(p) repeating all of the steps a plurality of times until said tissue is fastened.
18. A method of endoscopically suturing tissue using said suture device as recited in claim 1 comprises the steps of:
(a) placing a cannula substantially close to a site of surgical operation;
(b) setting said shape memory needle in said retracted position;
(c) inserting an endoscope into an equipment inlet and extending out an equipment outlet;
(d) inserting said suture device with said endoscope into said cannula;
(e) guiding by said endoscope, piercing tissue to be sutured with at least one, preferring both said first and second needles;
(f) deploying said hook of said shape memory needle into a receiving slot of said second needle;
(g) retrieving said endoscope from said equipment inlet;
(h) threading said suture through said suture threading means into said proximal opening of said shape memory needle;
(i) passing said suture longitudinally along said inside bore of said shape memory needle into a receiving slot of said second needle, and continue passing said suture along said inside bore of said second needle;
(j) retrieving said suture from said proximal opening of said second needle outside said suture device;
(k) retracting said hook, leaving said suture between said distal openings of said first needle and said second needle;
(l) withdrawing said suture device from said site of surgical operation, leaving said suture in said tissue;
(m) tying and delivering slip knot to said tissue;
(n) cutting off excess suture; and
(o) repeating all of the steps a plurality of times until said tissue is fastened.
19. A method of endoscopically suturing tissue in claim 18 and claim 17, wherein said shape memory needle is deployed outside said tissue, a full-thickness suturing is formed.
20. A method of endoscopically suturing tissue in claim 17 and claim 18, wherein said shape memory needle is deployed within said tissue, a partial-thickness suturing is formed.
21. A method of endoscopically suturing tissue in claim 18 and claim 17, wherein said suture further comprises a flexible and pushable filament.
US08/896,106 1997-07-17 1997-07-17 Partial to full thickness suture device & method for endoscopic surgeries Expired - Fee Related US5895395A (en)

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Cited By (208)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US6059800A (en) * 1997-09-10 2000-05-09 Applied Medical Resources Corporation Suturing apparatus and method
WO2001026588A2 (en) * 1999-10-13 2001-04-19 Yeung Jeffrey E Methods and devices for treating urinary incontinence or obstruction
EP1095622A1 (en) * 1999-10-29 2001-05-02 Biomedix S.A. Endoscopic suturing instrument
WO2002007609A2 (en) * 2000-07-26 2002-01-31 Orthopaedic Biosystems Ltd., Inc. Apparatus and method for repairing or reattaching soft tissue
US20020035324A1 (en) * 1998-12-24 2002-03-21 Sirimanne D. Laksen Subcutaneous cavity marking device and method
US6371904B1 (en) * 1998-12-24 2002-04-16 Vivant Medical, Inc. Subcutaneous cavity marking device and method
US6425887B1 (en) 1998-12-09 2002-07-30 Cook Incorporated Multi-directional needle medical device
US20020156344A1 (en) * 2001-04-04 2002-10-24 Pasricha Pankaj Jay Endoscopic instruments
US20020193810A1 (en) * 2001-06-15 2002-12-19 John Donald Hill Suture placement apparatus
US20030004544A1 (en) * 2001-04-04 2003-01-02 Koichi Kawashima Endoscopic instruments
WO2003007824A1 (en) * 2001-07-17 2003-01-30 Vascular Control Systems, Inc. Doppler directed suture ligation device
US20030105475A1 (en) * 2001-07-23 2003-06-05 Sancoff Gregory E. Surgical suturing instrument and method of use
US20030105476A1 (en) * 2001-09-14 2003-06-05 Sancoff Gregory E. Surgical suturing instrument and method of use
US20030120286A1 (en) * 2001-03-28 2003-06-26 Vascular Control System Luminal clip applicator with sensor
US20030120306A1 (en) * 2000-04-21 2003-06-26 Vascular Control System Method and apparatus for the detection and occlusion of blood vessels
US20030130561A1 (en) * 2000-07-24 2003-07-10 Takayuki Suzuki Endoscope and endoscopic instrument and method using same
US20030130694A1 (en) * 1999-12-02 2003-07-10 Ray Bojarski Soft tissue attachment and repair
WO2003077771A1 (en) * 2002-03-15 2003-09-25 Angus Everett Strover Suturing apparatus and method
US6638286B1 (en) * 2000-11-16 2003-10-28 Vascular Control Systems, Inc. Doppler directed suture ligation device and method
US6638283B2 (en) 2001-01-26 2003-10-28 Raymond Thal Surgical suture passer
US20030216759A1 (en) * 1998-12-08 2003-11-20 Vascular Control Systems, Inc. Devices and methods for occlusion of the uterine arteries
US20040092967A1 (en) * 2001-12-11 2004-05-13 Sancoff Gregory E. Surgical suturing instrument and method of use
US20040092979A1 (en) * 2001-03-28 2004-05-13 Vascular Control System Occlusion device with deployable paddles for detection and occlusion of blood vessels
US20040093027A1 (en) * 2002-03-04 2004-05-13 Walter Fabisiak Barbed tissue connector for sealing vascular puncture wounds
US20040097961A1 (en) * 2002-11-19 2004-05-20 Vascular Control System Tenaculum for use with occlusion devices
US20040097962A1 (en) * 2002-11-19 2004-05-20 Vascular Control System Deployable constrictor for uterine artery occlusion
US20040153105A1 (en) * 2003-01-30 2004-08-05 Vascular Control Systems, Inc. Uterine artery occlusion clamp
US20040153074A1 (en) * 2003-02-05 2004-08-05 Bojarski Raymond A. Tissue anchor and insertion tool
US20040181243A1 (en) * 2003-03-10 2004-09-16 Scimed Life Systems, Inc. Re-shapeable medical device
US20040202694A1 (en) * 2003-04-11 2004-10-14 Vascular Control Systems, Inc. Embolic occlusion of uterine arteries
US20050101974A1 (en) * 2003-02-05 2005-05-12 Vascular Control Systems, Inc. Vascular clamp for caesarian section
US20050113634A1 (en) * 2003-11-25 2005-05-26 Vascular Control Systems, Inc. Occlusion device for asymmetrical uterine artery anatomy
US20050113852A1 (en) * 2003-11-20 2005-05-26 Vascular Control Systems, Inc. Uterine artery occlusion device with cervical receptacle
US20050143741A1 (en) * 2001-09-26 2005-06-30 Andre Timmermans Device for introducing a suture thread anchor into a bone
US20050165416A1 (en) * 2004-01-28 2005-07-28 Ray Bojarski Suture loading
US20050283192A1 (en) * 1999-12-02 2005-12-22 Torrie Paul A Closure device and method for tissue repair
US20060015144A1 (en) * 2004-07-19 2006-01-19 Vascular Control Systems, Inc. Uterine artery occlusion staple
US20060036548A1 (en) * 2002-05-15 2006-02-16 Stefan Roever Methods and apparatus for title protocol, authentication, and sharing
US20060074328A1 (en) * 2002-04-04 2006-04-06 Vascular Control Systems, Inc. Doppler directed suturing and compression device and method
US20060106109A1 (en) * 2004-10-27 2006-05-18 Burbank Fred H Short term treatment for uterine disorder
US7048748B1 (en) 2001-03-21 2006-05-23 Uestuener Emin Tuncay Automatic surgical suturing instrument and method
US20060241337A1 (en) * 2003-03-28 2006-10-26 Vascular Control Systems, Inc. Uterine tissue monitoring device and method
US20060293709A1 (en) * 2005-06-24 2006-12-28 Bojarski Raymond A Tissue repair device
US20070049973A1 (en) * 2005-08-29 2007-03-01 Vascular Control Systems, Inc. Method and device for treating adenomyosis and endometriosis
US20070083236A1 (en) * 2005-06-24 2007-04-12 Smith & Nephew, Inc. Methods and devices for tissue repair
US20070118153A1 (en) * 2005-08-23 2007-05-24 Sherwood Services Ag Extraction device and medical suturing device set
US20070142791A1 (en) * 2003-05-07 2007-06-21 Aleeve Medical Inc. A Delaware Corporation U-shaped disc shunt and delivery device
US20070179509A1 (en) * 2005-12-26 2007-08-02 Nippon Sherwood Medical Industries Ltd. Medical Suturing Device
US20070282351A1 (en) * 2006-05-31 2007-12-06 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20070293876A1 (en) * 2004-03-02 2007-12-20 Nippon Sherwood Medical Industries Ltd. Medical Suturing Tool
US20080086147A1 (en) * 2006-10-05 2008-04-10 Knapp Thomas P Shape memory filament for suture management
US20080091219A1 (en) * 2006-05-22 2008-04-17 Peter Marshall Method and apparatus for meniscal repair
WO2008045683A1 (en) * 2006-10-05 2008-04-17 Thomas Knapp Shape memory filament for suture management
US20080200931A1 (en) * 2007-02-20 2008-08-21 Tyco Healthcare Group Lp Auxiliary device for a puncture needle
US20080200924A1 (en) * 2000-04-21 2008-08-21 Vascular Control Systems, Inc. Methods for minimally invasive, non-permanent occlusion of a uterine artery
US20080255591A1 (en) * 2006-10-05 2008-10-16 Tyco Healthcare Group Lp Medical suturing tool with multiple puncture needles
US20090012538A1 (en) * 2007-07-03 2009-01-08 Justin Saliman Methods and devices for continuous suture passing
US20090062852A1 (en) * 2007-08-29 2009-03-05 Marino James F Annular repair device and methods
US20090082806A1 (en) * 2007-09-24 2009-03-26 Hs West Investments, Llc Meniscal repair system
US20090099578A1 (en) * 2007-08-08 2009-04-16 Spirx Closure, Llc Methods and devices for delivering sutures in tissue
US20090143790A1 (en) * 2007-11-30 2009-06-04 Ygal Zucker Suturing assembly and method
US20090163939A1 (en) * 2004-10-06 2009-06-25 Hitoshi Mabuchi Organ fixing equipment
US20090198248A1 (en) * 2008-02-04 2009-08-06 Yeung Jeffrey E Device for disc shunt implantation and peri-shunt injection
US20090228041A1 (en) * 2008-03-04 2009-09-10 Cayenne Medical, Inc. Arthroscopic meniscal repair systems and methods
US20090318939A1 (en) * 2008-06-24 2009-12-24 Tyco Healthcare Group Lp Puncturing needle assisting tool
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US20100106169A1 (en) * 2008-10-21 2010-04-29 Cayenne Medical, Inc. Meniscal repair systems and methods
US20100130990A1 (en) * 2007-07-03 2010-05-27 Saliman Justin D Methods of suturing and repairing tissue using a continuous suture passer device
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US20100228271A1 (en) * 2006-05-22 2010-09-09 Peter Marshall Meniscal repair device
US20100241142A1 (en) * 2009-03-23 2010-09-23 Linvatec Corporation Suture passing apparatus and method
WO2010127274A1 (en) * 2009-05-01 2010-11-04 Cayenne Medical, Inc. Meniscal repair systems and methods
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US20110112557A1 (en) * 2008-07-02 2011-05-12 Antony Hugh Beeley Apparatus and method for laparoscopic port site suture
US20110112556A1 (en) * 2009-11-09 2011-05-12 Saliman Justin D Devices, systems and methods for meniscus repair
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US7996968B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. Automated method for cutting tissue retainers on a suture
US20110218557A1 (en) * 2007-07-03 2011-09-08 Saliman Justin D Methods of meniscus repair
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8152835B2 (en) 2008-06-25 2012-04-10 Tyco Healthcare Group Lp Methods for the placement of sutures in tissue
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US20120283750A1 (en) * 2011-05-06 2012-11-08 Saliman Justin D Meniscus repair
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8323315B2 (en) 1998-12-30 2012-12-04 Depuy Mitek, Inc. Suture locking device
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8460322B2 (en) 2010-03-31 2013-06-11 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8500809B2 (en) 2011-01-10 2013-08-06 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US8535339B2 (en) 2011-12-18 2013-09-17 Via Surgical Ltd. Apparatus and method for suturing
US20130261565A1 (en) * 2012-03-14 2013-10-03 Becton, Dickinson And Company Angled Retracting Sheath for Safety Needle
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US8690898B2 (en) * 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US8702731B2 (en) 2007-07-03 2014-04-22 Ceterix Orthopaedics, Inc. Suturing and repairing tissue using in vivo suture loading
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US8821518B2 (en) 2007-11-05 2014-09-02 Ceterix Orthopaedics, Inc. Suture passing instrument and method
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8911456B2 (en) 2007-07-03 2014-12-16 Ceterix Orthopaedics, Inc. Methods and devices for preventing tissue bridging while suturing
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US9011454B2 (en) 2009-11-09 2015-04-21 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9211119B2 (en) 2007-07-03 2015-12-15 Ceterix Orthopaedics, Inc. Suture passers and methods of passing suture
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9265524B2 (en) 2013-03-15 2016-02-23 The Cleveland Clinic Foundation Devices and methods for tissue graft delivery
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9314234B2 (en) 2007-07-03 2016-04-19 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9463014B2 (en) 2012-09-07 2016-10-11 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US9492162B2 (en) 2013-12-16 2016-11-15 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices and methods
US9511238B2 (en) * 2012-07-26 2016-12-06 Nyxoah SA Implant holder and suture guide
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9669113B1 (en) 1998-12-24 2017-06-06 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US20170281153A1 (en) * 2014-03-10 2017-10-05 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
US9888913B2 (en) 2012-05-31 2018-02-13 Via Surgical Ltd. Variable depth surgical fixation
US9888915B2 (en) 2011-02-14 2018-02-13 Smith & Nephew, Inc. Method and device for suture removal
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US9949732B2 (en) 2005-02-07 2018-04-24 Ivy Sports Medicine, Llc System and method for all-inside suture fixation for implant attachment and soft tissue repair
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US9993245B2 (en) 2013-03-11 2018-06-12 Via Surgical Ltd. Surgical tacker with quantity indicator
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10117648B2 (en) 2015-04-23 2018-11-06 Via Surgical Ltd. Surgical fastener delivery and locking mechanism
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10245021B2 (en) 2013-10-08 2019-04-02 Applied Medical Technology, Inc Magnetic U-stitch device
US10405851B2 (en) 2015-09-11 2019-09-10 Applied Medical Resources Corporation Laparoscopic suturing system
US10405853B2 (en) 2015-10-02 2019-09-10 Ceterix Orthpaedics, Inc. Knot tying accessory
US10420546B2 (en) 2010-05-04 2019-09-24 Ethicon, Inc. Self-retaining systems having laser-cut retainers
US10441273B2 (en) 2007-07-03 2019-10-15 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US10492780B2 (en) 2011-03-23 2019-12-03 Ethicon, Inc. Self-retaining variable loop sutures
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10524778B2 (en) 2011-09-28 2020-01-07 Ceterix Orthopaedics Suture passers adapted for use in constrained regions
US10531884B2 (en) 2006-02-13 2020-01-14 Asahi Medical Technologies, Inc. Recanalizing occluded vessels using controlled antegrade and retrograde tracking
US10537321B2 (en) 2014-04-08 2020-01-21 Ceterix Orthopaedics, Inc. Suture passers adapted for use in constrained regions
US10548590B2 (en) 2005-02-07 2020-02-04 Ivy Sports Medicine, Llc System and method for all-inside suture fixation for implant attachment and soft tissue repair
US10603024B2 (en) 2016-06-17 2020-03-31 Medos International Sarl Devices, systems, and methods for moving tissue within a body
US10682133B2 (en) 2016-10-31 2020-06-16 Smith & Nephew, Inc. Suture passer and grasper instrument and method
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US10932769B2 (en) 2016-05-26 2021-03-02 Ivy Sports Medicine, Llc System and method for all-inside suture fixation for implant attachment and soft tissue repair
US11007296B2 (en) 2010-11-03 2021-05-18 Ethicon, Inc. Drug-eluting self-retaining sutures and methods relating thereto
US11039831B2 (en) 2014-03-05 2021-06-22 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US11058414B1 (en) * 2020-12-29 2021-07-13 Arthrex, Inc. Methods of tissue repair with direct pass cinch
US11096682B2 (en) * 2012-02-07 2021-08-24 Arthrocare Corporation Surgical instrument for manipulating and passing suture
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US11744575B2 (en) 2009-11-09 2023-09-05 Ceterix Orthopaedics, Inc. Suture passer devices and methods

Families Citing this family (6)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
JP2003518132A (en) 1999-12-21 2003-06-03 モンサント テクノロジー エルエルシー Use of accelerators in combination with carbon-supported noble metal-containing catalysts in liquid phase oxidation reactions.
CN1729052A (en) 2001-10-18 2006-02-01 孟山都技术公司 Process and catalyst for dehydrogenating primary alcohols to make carboxylic acid salts
AR040319A1 (en) 2002-06-28 2005-03-23 Monsanto Technology Llc USE OF TELURIUM IN CATALYSTS WITH NOBLE METAL CONTENT AND WITH CARBON SUPPORT FOR OXIDATION REACTIONS IN LIQUID PHASE
US20050267529A1 (en) 2004-05-13 2005-12-01 Heber Crockett Devices, systems and methods for tissue repair
WO2008030893A2 (en) 2006-09-05 2008-03-13 Cayenne Medical, Inc. Arthroscopic soft tissue plication systems and methods
US8394112B2 (en) 2008-10-22 2013-03-12 Cayenne Medical, Inc. Arthroscopic suture passing devices and methods

Citations (25)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US659422A (en) * 1900-06-12 1900-10-09 George W Shidler Surgical instrument.
US3856009A (en) * 1971-11-26 1974-12-24 Johnson & Johnson Catheter placement unit
US4493323A (en) * 1982-12-13 1985-01-15 University Of Iowa Research Foundation Suturing device and method for using same
US4511356A (en) * 1983-02-22 1985-04-16 Edward C. Froning Cannula, obturator, stylet and needle hub connectors for lumbar disc puncture
US4884572A (en) * 1986-05-20 1989-12-05 Concept, Inc. Tack and applicator for treating torn bodily material in vivo
US4895148A (en) * 1986-05-20 1990-01-23 Concept, Inc. Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
US5026350A (en) * 1986-10-09 1991-06-25 Hakko Electric Machine Works Co., Ltd. Set of double needles for injecting liquid medicine
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5059206A (en) * 1989-04-12 1991-10-22 Winters Thomas F Method and apparatus for repairing a tear in a knee meniscus
US5069226A (en) * 1989-04-28 1991-12-03 Tokin Corporation Catheter guidewire with pseudo elastic shape memory alloy
US5154189A (en) * 1988-06-03 1992-10-13 Oberlander Michael A Method for repairing a torn meniscus
US5181919A (en) * 1991-04-23 1993-01-26 Arieh Bergman Suture ligating device for use with an endoscope
US5219358A (en) * 1991-08-29 1993-06-15 Ethicon, Inc. Shape memory effect surgical needles
US5222977A (en) * 1992-02-21 1993-06-29 Esser Rene D Surgical needle with an adjustable eye
US5250055A (en) * 1992-06-08 1993-10-05 Orthopedic Systems Inc. Method and apparatus for tying suture to bone
US5282809A (en) * 1992-11-16 1994-02-01 Ethicon, Inc. Endoscopic suturing device
US5290284A (en) * 1992-05-01 1994-03-01 Adair Edwin Lloyd Laparoscopic surgical ligation and electrosurgical coagulation and cutting device
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5330491A (en) * 1992-09-18 1994-07-19 Ethicon, Inc. Endoscopic suturing device
US5364410A (en) * 1993-05-28 1994-11-15 Ethicon, Inc. Percutaneous suture externalizer
US5374268A (en) * 1991-05-13 1994-12-20 United States Surgical Corporation Device and method for repairing torn tissue
US5398861A (en) * 1993-04-16 1995-03-21 United States Surgical Corporation Device for driving surgical fasteners
US5462560A (en) * 1993-10-08 1995-10-31 Tahoe Surgical Instruments Double needle ligature device
US5468251A (en) * 1993-10-12 1995-11-21 Advanced Surgical, Inc. Surgical suturing device
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever

Patent Citations (26)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US659422A (en) * 1900-06-12 1900-10-09 George W Shidler Surgical instrument.
US3856009A (en) * 1971-11-26 1974-12-24 Johnson & Johnson Catheter placement unit
US4493323A (en) * 1982-12-13 1985-01-15 University Of Iowa Research Foundation Suturing device and method for using same
US4511356A (en) * 1983-02-22 1985-04-16 Edward C. Froning Cannula, obturator, stylet and needle hub connectors for lumbar disc puncture
US4884572A (en) * 1986-05-20 1989-12-05 Concept, Inc. Tack and applicator for treating torn bodily material in vivo
US4895148A (en) * 1986-05-20 1990-01-23 Concept, Inc. Method of joining torn parts of bodily tissue in vivo with a biodegradable tack member
US5026350A (en) * 1986-10-09 1991-06-25 Hakko Electric Machine Works Co., Ltd. Set of double needles for injecting liquid medicine
US5154189A (en) * 1988-06-03 1992-10-13 Oberlander Michael A Method for repairing a torn meniscus
US5059206A (en) * 1989-04-12 1991-10-22 Winters Thomas F Method and apparatus for repairing a tear in a knee meniscus
US5069226A (en) * 1989-04-28 1991-12-03 Tokin Corporation Catheter guidewire with pseudo elastic shape memory alloy
US5037433A (en) * 1990-05-17 1991-08-06 Wilk Peter J Endoscopic suturing device and related method and suture
US5181919A (en) * 1991-04-23 1993-01-26 Arieh Bergman Suture ligating device for use with an endoscope
US5374268A (en) * 1991-05-13 1994-12-20 United States Surgical Corporation Device and method for repairing torn tissue
US5219358A (en) * 1991-08-29 1993-06-15 Ethicon, Inc. Shape memory effect surgical needles
US5222977A (en) * 1992-02-21 1993-06-29 Esser Rene D Surgical needle with an adjustable eye
US5290284A (en) * 1992-05-01 1994-03-01 Adair Edwin Lloyd Laparoscopic surgical ligation and electrosurgical coagulation and cutting device
US5250055A (en) * 1992-06-08 1993-10-05 Orthopedic Systems Inc. Method and apparatus for tying suture to bone
US5312422A (en) * 1992-07-16 1994-05-17 Linvatec Corporation Endoscopic suturing needle
US5474565A (en) * 1992-07-16 1995-12-12 Linvatec Corporation Endoscopic suturing needle
US5330491A (en) * 1992-09-18 1994-07-19 Ethicon, Inc. Endoscopic suturing device
US5282809A (en) * 1992-11-16 1994-02-01 Ethicon, Inc. Endoscopic suturing device
US5398861A (en) * 1993-04-16 1995-03-21 United States Surgical Corporation Device for driving surgical fasteners
US5364410A (en) * 1993-05-28 1994-11-15 Ethicon, Inc. Percutaneous suture externalizer
US5462560A (en) * 1993-10-08 1995-10-31 Tahoe Surgical Instruments Double needle ligature device
US5468251A (en) * 1993-10-12 1995-11-21 Advanced Surgical, Inc. Surgical suturing device
US5499991A (en) * 1994-12-19 1996-03-19 Linvatec Corporation Endoscopic needle with suture retriever

Non-Patent Citations (4)

* Cited by examiner, † Cited by third party
Title
Ed: Aichroth, P et al, 1992 Knee Surgery: Current Practice. *
Fu, F. et al, Knee Surgery Voll. *
Johnson, L.L., 1986, Arthroscopic Surgery: Principles & Practice. *
Siliski, J.M., 1994, Traumatic Disorders of the Knee. *

Cited By (513)

* Cited by examiner, † Cited by third party
Publication number Priority date Publication date Assignee Title
US8246652B2 (en) 1993-05-03 2012-08-21 Ethicon, Inc. Suture with a pointed end and an anchor end and with equally spaced yieldable tissue grasping barbs located at successive axial locations
USRE45426E1 (en) 1997-05-21 2015-03-17 Ethicon, Inc. Surgical methods using one-way suture
US6059800A (en) * 1997-09-10 2000-05-09 Applied Medical Resources Corporation Suturing apparatus and method
US20030216759A1 (en) * 1998-12-08 2003-11-20 Vascular Control Systems, Inc. Devices and methods for occlusion of the uterine arteries
US7771357B2 (en) 1998-12-08 2010-08-10 Vascular Control Systems, Inc. Devices and methods for occlusion of the uterine arteries
US8747359B2 (en) 1998-12-09 2014-06-10 Cook Medical Technologies Llc Hollow curved superelastic medical needle and method
US6592559B1 (en) 1998-12-09 2003-07-15 Cook Incorporated Hollow, curved, superlastic medical needle
US8048030B2 (en) 1998-12-09 2011-11-01 Cook Medical Technologies Llc Hollow curved superelastic medical needle and method
US8052661B2 (en) 1998-12-09 2011-11-08 Cook Incorporated Hollow curved superelastic medical needle and method
US8784382B2 (en) 1998-12-09 2014-07-22 Cook Medical Technologies Llc Hollow curved superelastic medical needle and method
US6425887B1 (en) 1998-12-09 2002-07-30 Cook Incorporated Multi-directional needle medical device
US20090177161A1 (en) * 1998-12-09 2009-07-09 Mcguckin Jr James F Hollow curved superelastic medical needle and method
US9669113B1 (en) 1998-12-24 2017-06-06 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US20100234726A1 (en) * 1998-12-24 2010-09-16 Sirimanne D Laksen Device and method for safe location and marking of a biopsy cavity
US8306602B2 (en) 1998-12-24 2012-11-06 Devicor Medical Products, Inc. Biopsy cavity marking device
US20060079770A1 (en) * 1998-12-24 2006-04-13 Sirimanne D L Biopsy site marker
US6371904B1 (en) * 1998-12-24 2002-04-16 Vivant Medical, Inc. Subcutaneous cavity marking device and method
US7668582B2 (en) 1998-12-24 2010-02-23 Ethicon Endo-Surgery, Inc. Biopsy site marker
US8320993B2 (en) 1998-12-24 2012-11-27 Devicor Medical Products, Inc. Subcutaneous cavity marking device
US20020035324A1 (en) * 1998-12-24 2002-03-21 Sirimanne D. Laksen Subcutaneous cavity marking device and method
US20060036159A1 (en) * 1998-12-24 2006-02-16 Sirimanne D L Biopsy cavity marking device
US8600481B2 (en) 1998-12-24 2013-12-03 Devicor Medical Products, Inc. Subcutaneous cavity marking device
US20050059888A1 (en) * 1998-12-24 2005-03-17 Sirimanne D. Laksen Biopsy cavity marking device and method
US8320994B2 (en) 1998-12-24 2012-11-27 Devicor Medical Products, Inc. Biopsy cavity marking device and method
US20050080337A1 (en) * 1998-12-24 2005-04-14 Vivant Medical, Inc. Biopsy site marker
US20020107437A1 (en) * 1998-12-24 2002-08-08 Sirimanne D. Laksen Subcutaneous cavity marking device and method
US20050085724A1 (en) * 1998-12-24 2005-04-21 Vivant Medical, Inc. Biopsy cavity marking device and method
US9986974B2 (en) 1998-12-24 2018-06-05 Devicor Medical Products, Inc. Biopsy cavity marking device
US20050080338A1 (en) * 1998-12-24 2005-04-14 Sirimanne D. Laksen Biopsy cavity marking device and method
US20050080339A1 (en) * 1998-12-24 2005-04-14 Vivant Medical, Inc. Biopsy cavity marking device
US9380998B2 (en) 1998-12-24 2016-07-05 Devicor Medical Products, Inc. Subcutaneous cavity marking device and method
US9492570B2 (en) 1998-12-24 2016-11-15 Devicor Medical Products, Inc. Device and method for safe location and marking of a biopsy cavity
US8512374B2 (en) 1998-12-30 2013-08-20 Depuy Mitek, Llc Soft tissue locking device
US8323315B2 (en) 1998-12-30 2012-12-04 Depuy Mitek, Inc. Suture locking device
WO2001026588A2 (en) * 1999-10-13 2001-04-19 Yeung Jeffrey E Methods and devices for treating urinary incontinence or obstruction
WO2001026588A3 (en) * 1999-10-13 2001-10-11 Jeffrey E Yeung Methods and devices for treating urinary incontinence or obstruction
EP1095622A1 (en) * 1999-10-29 2001-05-02 Biomedix S.A. Endoscopic suturing instrument
WO2001032084A1 (en) * 1999-10-29 2001-05-10 Biomedix S.A. Endoscopic suturing instrument
US9545251B2 (en) 1999-12-02 2017-01-17 Smith & Nephew, Inc. Apparatus for tissue repair
US9833231B2 (en) 1999-12-02 2017-12-05 Smith & Nephew, Inc. Apparatus for tissue repair
US20050033363A1 (en) * 1999-12-02 2005-02-10 Ray Bojarski Methods and devices for tissue repair
US9295461B2 (en) 1999-12-02 2016-03-29 Smith & Nephew, Inc. Methods for tissue repair
US7887551B2 (en) 1999-12-02 2011-02-15 Smith & Nephew, Inc. Soft tissue attachment and repair
US8366744B2 (en) 1999-12-02 2013-02-05 Smith & Nephew, Inc. Apparatus for tissue repair
US8512375B2 (en) 1999-12-02 2013-08-20 Smith & Nephew, Inc. Closure device and method for tissue repair
US9220494B2 (en) 1999-12-02 2015-12-29 Smith & Nephew, Inc. Methods for tissue repair
US20030130694A1 (en) * 1999-12-02 2003-07-10 Ray Bojarski Soft tissue attachment and repair
US9492160B2 (en) 1999-12-02 2016-11-15 Smith & Nephew, Inc. Closure device and method for tissue repair
US7651509B2 (en) 1999-12-02 2010-01-26 Smith & Nephew, Inc. Methods and devices for tissue repair
US20050283192A1 (en) * 1999-12-02 2005-12-22 Torrie Paul A Closure device and method for tissue repair
US20100114161A1 (en) * 1999-12-02 2010-05-06 Smith & Nephew, Inc. Apparatus for Tissue Repair
US20100114162A1 (en) * 1999-12-02 2010-05-06 Smith & Nephew, Inc. Methods for Tissue Repair
US20080200924A1 (en) * 2000-04-21 2008-08-21 Vascular Control Systems, Inc. Methods for minimally invasive, non-permanent occlusion of a uterine artery
US20030120306A1 (en) * 2000-04-21 2003-06-26 Vascular Control System Method and apparatus for the detection and occlusion of blood vessels
US7318802B2 (en) 2000-07-24 2008-01-15 Olympus Optical Co., Ltd. Endoscope and endoscopic suturing instrument for treatment of gastroesophageal reflux disease
US20050090842A1 (en) * 2000-07-24 2005-04-28 Takayuki Suzuki Endoscope and endoscopic instrument and method using same
US6986737B2 (en) 2000-07-24 2006-01-17 Olympus Optical Co., Ltd. Endoscopic method for forming an artificial valve
US8435169B2 (en) 2000-07-24 2013-05-07 Olympus Corporation Endoscope and endoscopic suturing instrument for treatment of gastroesophageal reflux disease
US20080058589A1 (en) * 2000-07-24 2008-03-06 Olympus Corporation Endoscope and endoscopic suturing instrument for treatment of gastroesophageal reflux disease
US20110060351A1 (en) * 2000-07-24 2011-03-10 Takayuki Suzuki Endoscope and endoscopic suturing instrument for treatment of gastroesophageal reflux disease
US6988985B2 (en) 2000-07-24 2006-01-24 Olympus Optical Co., Ltd. Tissue piercing device for an endoscope
US20030130560A1 (en) * 2000-07-24 2003-07-10 Takayuki Suzuki Endoscope and endoscopic instrument and method using same
US20030130561A1 (en) * 2000-07-24 2003-07-10 Takayuki Suzuki Endoscope and endoscopic instrument and method using same
US6443963B1 (en) 2000-07-26 2002-09-03 Orthopaedic Biosystems, Ltd. Apparatus and method for repairing or reattaching soft tissue
WO2002007609A3 (en) * 2000-07-26 2002-04-04 Orthopaedic Biosystems Ltd Inc Apparatus and method for repairing or reattaching soft tissue
WO2002007609A2 (en) * 2000-07-26 2002-01-31 Orthopaedic Biosystems Ltd., Inc. Apparatus and method for repairing or reattaching soft tissue
US7141057B2 (en) 2000-11-16 2006-11-28 Vascular Control Systems, Inc. Doppler directed suture ligation device and method
US6638286B1 (en) * 2000-11-16 2003-10-28 Vascular Control Systems, Inc. Doppler directed suture ligation device and method
US20040059352A1 (en) * 2000-11-16 2004-03-25 Vascular Control Systems, Inc. Doppler directed suture ligation device and method
US6638283B2 (en) 2001-01-26 2003-10-28 Raymond Thal Surgical suture passer
US7048748B1 (en) 2001-03-21 2006-05-23 Uestuener Emin Tuncay Automatic surgical suturing instrument and method
US20030120286A1 (en) * 2001-03-28 2003-06-26 Vascular Control System Luminal clip applicator with sensor
US20040092979A1 (en) * 2001-03-28 2004-05-13 Vascular Control System Occlusion device with deployable paddles for detection and occlusion of blood vessels
US7354444B2 (en) 2001-03-28 2008-04-08 Vascular Control Systems, Inc. Occlusion device with deployable paddles for detection and occlusion of blood vessels
US20090287088A1 (en) * 2001-03-28 2009-11-19 Vascular Control Systems, Inc. Luminal clip applicator with sensor and methods for occluding body lumens
US7156857B2 (en) * 2001-04-04 2007-01-02 Olympus Optical Co., Ltd. Endoscopic instruments
US20030004544A1 (en) * 2001-04-04 2003-01-02 Koichi Kawashima Endoscopic instruments
US7306613B2 (en) * 2001-04-04 2007-12-11 Olympus Optical Co., Ltd. Endoscopic instruments
US20060282100A1 (en) * 2001-04-04 2006-12-14 Pasricha Pankaj J Endoscopic instruments
US20020156344A1 (en) * 2001-04-04 2002-10-24 Pasricha Pankaj Jay Endoscopic instruments
US7998148B2 (en) * 2001-04-04 2011-08-16 Olympus Corporation Endoscopic instruments
US20020193810A1 (en) * 2001-06-15 2002-12-19 John Donald Hill Suture placement apparatus
WO2002102253A1 (en) * 2001-06-15 2002-12-27 Hill Donald J Suture placement apparatus
US7122040B2 (en) 2001-06-15 2006-10-17 J. Donald Hill Suture placement apparatus
US8764776B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Anastomosis method using self-retaining sutures
US8764796B2 (en) 2001-06-29 2014-07-01 Ethicon, Inc. Suture method
US8777988B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Methods for using self-retaining sutures in endoscopic procedures
US8777989B2 (en) 2001-06-29 2014-07-15 Ethicon, Inc. Subcutaneous sinusoidal wound closure utilizing one-way suture
US8747437B2 (en) 2001-06-29 2014-06-10 Ethicon, Inc. Continuous stitch wound closure utilizing one-way suture
WO2003007824A1 (en) * 2001-07-17 2003-01-30 Vascular Control Systems, Inc. Doppler directed suture ligation device
US20030105475A1 (en) * 2001-07-23 2003-06-05 Sancoff Gregory E. Surgical suturing instrument and method of use
US8011072B2 (en) 2001-08-31 2011-09-06 Quill Medical, Inc. Method for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US8015678B2 (en) 2001-08-31 2011-09-13 Quill Medical, Inc. Method for cutting a suture to create tissue retainers of a desired shape and size
US7996968B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. Automated method for cutting tissue retainers on a suture
US8028387B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for supporting and cutting suture thread to create tissue retainers thereon
US7996967B2 (en) 2001-08-31 2011-08-16 Quill Medical, Inc. System for variable-angle cutting of a suture to create tissue retainers of a desired shape and size
US8020263B2 (en) 2001-08-31 2011-09-20 Quill Medical, Inc. Automated system for cutting tissue retainers on a suture
US8028388B2 (en) 2001-08-31 2011-10-04 Quill Medical, Inc. System for cutting a suture to create tissue retainers of a desired shape and size
US8926659B2 (en) 2001-08-31 2015-01-06 Ethicon, Inc. Barbed suture created having barbs defined by variable-angle cut
US20030105476A1 (en) * 2001-09-14 2003-06-05 Sancoff Gregory E. Surgical suturing instrument and method of use
US20050143741A1 (en) * 2001-09-26 2005-06-30 Andre Timmermans Device for introducing a suture thread anchor into a bone
US20040092967A1 (en) * 2001-12-11 2004-05-13 Sancoff Gregory E. Surgical suturing instrument and method of use
US20040093027A1 (en) * 2002-03-04 2004-05-13 Walter Fabisiak Barbed tissue connector for sealing vascular puncture wounds
WO2003077771A1 (en) * 2002-03-15 2003-09-25 Angus Everett Strover Suturing apparatus and method
US7645284B2 (en) 2002-04-04 2010-01-12 Vascular Control Systems, Inc. Doppler directed suturing and compression device and method
US20060074328A1 (en) * 2002-04-04 2006-04-06 Vascular Control Systems, Inc. Doppler directed suturing and compression device and method
US20060036548A1 (en) * 2002-05-15 2006-02-16 Stefan Roever Methods and apparatus for title protocol, authentication, and sharing
US8690898B2 (en) * 2002-05-22 2014-04-08 Smith & Nephew, Inc. Suture passing surgical instrument
US10052098B2 (en) 2002-05-22 2018-08-21 Orthopaedic Biosystems Ltd., Inc. Suture passing surgical instrument
US8679158B2 (en) 2002-08-09 2014-03-25 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8083770B2 (en) 2002-08-09 2011-12-27 Quill Medical, Inc. Suture anchor and method
US8734486B2 (en) 2002-08-09 2014-05-27 Ethicon, Inc. Multiple suture thread configuration with an intermediate connector
US8690914B2 (en) 2002-08-09 2014-04-08 Ethicon, Inc. Suture with an intermediate barbed body
US8652170B2 (en) 2002-08-09 2014-02-18 Ethicon, Inc. Double ended barbed suture with an intermediate body
US9248580B2 (en) 2002-09-30 2016-02-02 Ethicon, Inc. Barb configurations for barbed sutures
US8721681B2 (en) 2002-09-30 2014-05-13 Ethicon, Inc. Barbed suture in combination with surgical needle
US8852232B2 (en) 2002-09-30 2014-10-07 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8821540B2 (en) 2002-09-30 2014-09-02 Ethicon, Inc. Self-retaining sutures having effective holding strength and tensile strength
US8734485B2 (en) 2002-09-30 2014-05-27 Ethicon, Inc. Sutures with barbs that overlap and cover projections
US8795332B2 (en) 2002-09-30 2014-08-05 Ethicon, Inc. Barbed sutures
US20070173863A1 (en) * 2002-11-19 2007-07-26 Vascular Control Systems, Inc. Deployable constrictor for uterine artery occlusion
US7479145B2 (en) 2002-11-19 2009-01-20 Vascular Control Systems, Inc. Tenaculum-like device for intravaginal instrument delivery
US20040097961A1 (en) * 2002-11-19 2004-05-20 Vascular Control System Tenaculum for use with occlusion devices
US7172603B2 (en) 2002-11-19 2007-02-06 Vascular Control Systems, Inc. Deployable constrictor for uterine artery occlusion
US20040158262A1 (en) * 2002-11-19 2004-08-12 Vascular Control Systems, Inc. Tenaculum-like device for intravaginal instrument delivery
US20040097962A1 (en) * 2002-11-19 2004-05-20 Vascular Control System Deployable constrictor for uterine artery occlusion
US20040153105A1 (en) * 2003-01-30 2004-08-05 Vascular Control Systems, Inc. Uterine artery occlusion clamp
US7329265B2 (en) 2003-01-30 2008-02-12 Vascular Control Systems, Inc. Uterine artery occlusion clamp
US20080097473A1 (en) * 2003-01-30 2008-04-24 Vascular Control Systems, Inc. Treatment for post partum hemorrhage
US7404821B2 (en) 2003-01-30 2008-07-29 Vascular Control Systems, Inc. Treatment for post partum hemorrhage
US7651511B2 (en) 2003-02-05 2010-01-26 Vascular Control Systems, Inc. Vascular clamp for caesarian section
US20050101974A1 (en) * 2003-02-05 2005-05-12 Vascular Control Systems, Inc. Vascular clamp for caesarian section
US20040153074A1 (en) * 2003-02-05 2004-08-05 Bojarski Raymond A. Tissue anchor and insertion tool
US9314235B2 (en) 2003-02-05 2016-04-19 Smith & Nephew, Inc. Tissue anchor and insertion tool
US9254128B2 (en) 2003-03-10 2016-02-09 Boston Scientific Scimed, Inc. Re-shapeable medical device
US20040181243A1 (en) * 2003-03-10 2004-09-16 Scimed Life Systems, Inc. Re-shapeable medical device
US8187288B2 (en) 2003-03-10 2012-05-29 Boston Scientific Scimed, Inc. Re-shapeable medical device
US7333844B2 (en) 2003-03-28 2008-02-19 Vascular Control Systems, Inc. Uterine tissue monitoring device and method
US7616979B2 (en) 2003-03-28 2009-11-10 Vascular Control Systems, Inc. Uterine tissue monitoring device and method
US20060241337A1 (en) * 2003-03-28 2006-10-26 Vascular Control Systems, Inc. Uterine tissue monitoring device and method
US20040202694A1 (en) * 2003-04-11 2004-10-14 Vascular Control Systems, Inc. Embolic occlusion of uterine arteries
US20070142791A1 (en) * 2003-05-07 2007-06-21 Aleeve Medical Inc. A Delaware Corporation U-shaped disc shunt and delivery device
US8032996B2 (en) 2003-05-13 2011-10-11 Quill Medical, Inc. Apparatus for forming barbs on a suture
US7325546B2 (en) 2003-11-20 2008-02-05 Vascular Control Systems, Inc. Uterine artery occlusion device with cervical receptacle
US20050113852A1 (en) * 2003-11-20 2005-05-26 Vascular Control Systems, Inc. Uterine artery occlusion device with cervical receptacle
US20050113634A1 (en) * 2003-11-25 2005-05-26 Vascular Control Systems, Inc. Occlusion device for asymmetrical uterine artery anatomy
US7686817B2 (en) 2003-11-25 2010-03-30 Vascular Control Systems, Inc. Occlusion device for asymmetrical uterine artery anatomy
US20050165416A1 (en) * 2004-01-28 2005-07-28 Ray Bojarski Suture loading
US7662160B2 (en) 2004-01-28 2010-02-16 Smith & Nephew, Inc. Suture loading
US8221454B2 (en) 2004-02-20 2012-07-17 Biomet Sports Medicine, Llc Apparatus for performing meniscus repair
US7625386B2 (en) * 2004-03-02 2009-12-01 Covidien Ag Medical suturing tool
US20070293876A1 (en) * 2004-03-02 2007-12-20 Nippon Sherwood Medical Industries Ltd. Medical Suturing Tool
US10548592B2 (en) 2004-05-14 2020-02-04 Ethicon, Inc. Suture methods and devices
US10779815B2 (en) 2004-05-14 2020-09-22 Ethicon, Inc. Suture methods and devices
US8721664B2 (en) 2004-05-14 2014-05-13 Ethicon, Inc. Suture methods and devices
US11723654B2 (en) 2004-05-14 2023-08-15 Ethicon, Inc. Suture methods and devices
US20070169911A1 (en) * 2004-06-22 2007-07-26 Aleeva Medical Inc., A Delaware Corporation U-shaped disc shunt and delivery device
US20060015144A1 (en) * 2004-07-19 2006-01-19 Vascular Control Systems, Inc. Uterine artery occlusion staple
US8663278B2 (en) 2004-10-06 2014-03-04 Covidien Lp Organ fixing equipment
US20090163939A1 (en) * 2004-10-06 2009-06-25 Hitoshi Mabuchi Organ fixing equipment
US20060106109A1 (en) * 2004-10-27 2006-05-18 Burbank Fred H Short term treatment for uterine disorder
US7875036B2 (en) 2004-10-27 2011-01-25 Vascular Control Systems, Inc. Short term treatment for uterine disorder
US11109857B2 (en) 2004-11-05 2021-09-07 Biomet Sports Medicine, Llc Soft tissue repair device and method
US9572655B2 (en) 2004-11-05 2017-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10265064B2 (en) 2004-11-05 2019-04-23 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8551140B2 (en) 2004-11-05 2013-10-08 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US9801708B2 (en) 2004-11-05 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8118836B2 (en) 2004-11-05 2012-02-21 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8303604B2 (en) 2004-11-05 2012-11-06 Biomet Sports Medicine, Llc Soft tissue repair device and method
US8128658B2 (en) 2004-11-05 2012-03-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8137382B2 (en) 2004-11-05 2012-03-20 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US8840645B2 (en) 2004-11-05 2014-09-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9504460B2 (en) 2004-11-05 2016-11-29 Biomet Sports Medicine, LLC. Soft tissue repair device and method
US8317825B2 (en) 2004-11-09 2012-11-27 Biomet Sports Medicine, Llc Soft tissue conduit device and method
US8998949B2 (en) 2004-11-09 2015-04-07 Biomet Sports Medicine, Llc Soft tissue conduit device
US8034090B2 (en) 2004-11-09 2011-10-11 Biomet Sports Medicine, Llc Tissue fixation device
US7914539B2 (en) 2004-11-09 2011-03-29 Biomet Sports Medicine, Llc Tissue fixation device
US10548590B2 (en) 2005-02-07 2020-02-04 Ivy Sports Medicine, Llc System and method for all-inside suture fixation for implant attachment and soft tissue repair
US9949732B2 (en) 2005-02-07 2018-04-24 Ivy Sports Medicine, Llc System and method for all-inside suture fixation for implant attachment and soft tissue repair
US8623051B2 (en) 2005-06-24 2014-01-07 Smith & Nephew, Inc. Tissue repair device
US20070083236A1 (en) * 2005-06-24 2007-04-12 Smith & Nephew, Inc. Methods and devices for tissue repair
US20060293709A1 (en) * 2005-06-24 2006-12-28 Bojarski Raymond A Tissue repair device
US9173653B2 (en) 2005-06-24 2015-11-03 Smith & Nephew, Inc. Tissue repair device
US20070118153A1 (en) * 2005-08-23 2007-05-24 Sherwood Services Ag Extraction device and medical suturing device set
US20070049973A1 (en) * 2005-08-29 2007-03-01 Vascular Control Systems, Inc. Method and device for treating adenomyosis and endometriosis
US20070179509A1 (en) * 2005-12-26 2007-08-02 Nippon Sherwood Medical Industries Ltd. Medical Suturing Device
US8672955B2 (en) 2005-12-26 2014-03-18 Covidien Lp Medical suturing device
US20100305586A1 (en) * 2005-12-26 2010-12-02 Tyco Healthcare Group Lp Medical Suturing Device
US8608777B2 (en) 2006-02-03 2013-12-17 Biomet Sports Medicine Method and apparatus for coupling soft tissue to a bone
US11259792B2 (en) 2006-02-03 2022-03-01 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10398428B2 (en) 2006-02-03 2019-09-03 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US7905903B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Method for tissue fixation
US8298262B2 (en) 2006-02-03 2012-10-30 Biomet Sports Medicine, Llc Method for tissue fixation
US7905904B2 (en) 2006-02-03 2011-03-15 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10695052B2 (en) 2006-02-03 2020-06-30 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8337525B2 (en) 2006-02-03 2012-12-25 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10321906B2 (en) 2006-02-03 2019-06-18 Biomet Sports Medicine, Llc Method for tissue fixation
US8361113B2 (en) 2006-02-03 2013-01-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8292921B2 (en) 2006-02-03 2012-10-23 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8409253B2 (en) 2006-02-03 2013-04-02 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US10441264B2 (en) 2006-02-03 2019-10-15 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US7857830B2 (en) 2006-02-03 2010-12-28 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US10251637B2 (en) 2006-02-03 2019-04-09 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US10154837B2 (en) 2006-02-03 2018-12-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10098629B2 (en) 2006-02-03 2018-10-16 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10092288B2 (en) 2006-02-03 2018-10-09 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10517587B2 (en) 2006-02-03 2019-12-31 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10022118B2 (en) 2006-02-03 2018-07-17 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10004588B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US10973507B2 (en) 2006-02-03 2021-04-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10987099B2 (en) 2006-02-03 2021-04-27 Biomet Sports Medicine, Llc Method for tissue fixation
US11039826B2 (en) 2006-02-03 2021-06-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10004489B2 (en) 2006-02-03 2018-06-26 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9993241B2 (en) 2006-02-03 2018-06-12 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8273106B2 (en) 2006-02-03 2012-09-25 Biomet Sports Medicine, Llc Soft tissue repair and conduit device
US10702259B2 (en) 2006-02-03 2020-07-07 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8968364B2 (en) 2006-02-03 2015-03-03 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US11065103B2 (en) 2006-02-03 2021-07-20 Biomet Sports Medicine, Llc Method and apparatus for fixation of an ACL graft
US8574235B2 (en) 2006-02-03 2013-11-05 Biomet Sports Medicine, Llc Method for trochanteric reattachment
US9149267B2 (en) 2006-02-03 2015-10-06 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8597327B2 (en) 2006-02-03 2013-12-03 Biomet Manufacturing, Llc Method and apparatus for sternal closure
US9173651B2 (en) 2006-02-03 2015-11-03 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9801620B2 (en) 2006-02-03 2017-10-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US10687803B2 (en) 2006-02-03 2020-06-23 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9763656B2 (en) 2006-02-03 2017-09-19 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US8936621B2 (en) 2006-02-03 2015-01-20 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8632569B2 (en) 2006-02-03 2014-01-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US7749250B2 (en) 2006-02-03 2010-07-06 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US8652172B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US8932331B2 (en) 2006-02-03 2015-01-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US8652171B2 (en) 2006-02-03 2014-02-18 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US10716557B2 (en) 2006-02-03 2020-07-21 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9642661B2 (en) 2006-02-03 2017-05-09 Biomet Sports Medicine, Llc Method and Apparatus for Sternal Closure
US9622736B2 (en) 2006-02-03 2017-04-18 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9603591B2 (en) 2006-02-03 2017-03-28 Biomet Sports Medicine, Llc Flexible anchors for tissue fixation
US10729421B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US10675073B2 (en) 2006-02-03 2020-06-09 Biomet Sports Medicine, Llc Method and apparatus for sternal closure
US10542967B2 (en) 2006-02-03 2020-01-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11116495B2 (en) 2006-02-03 2021-09-14 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US7909851B2 (en) 2006-02-03 2011-03-22 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9561025B2 (en) 2006-02-03 2017-02-07 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8721684B2 (en) 2006-02-03 2014-05-13 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11284884B2 (en) 2006-02-03 2022-03-29 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11311287B2 (en) 2006-02-03 2022-04-26 Biomet Sports Medicine, Llc Method for tissue fixation
US9271713B2 (en) 2006-02-03 2016-03-01 Biomet Sports Medicine, Llc Method and apparatus for tensioning a suture
US11317907B2 (en) 2006-02-03 2022-05-03 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US11446019B2 (en) 2006-02-03 2022-09-20 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10932770B2 (en) 2006-02-03 2021-03-02 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11471147B2 (en) 2006-02-03 2022-10-18 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11589859B2 (en) 2006-02-03 2023-02-28 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US11617572B2 (en) 2006-02-03 2023-04-04 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US8771316B2 (en) 2006-02-03 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9538998B2 (en) 2006-02-03 2017-01-10 Biomet Sports Medicine, Llc Method and apparatus for fracture fixation
US11723648B2 (en) 2006-02-03 2023-08-15 Biomet Sports Medicine, Llc Method and apparatus for soft tissue fixation
US9532777B2 (en) 2006-02-03 2017-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8088130B2 (en) 2006-02-03 2012-01-03 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9005287B2 (en) 2006-02-03 2015-04-14 Biomet Sports Medicine, Llc Method for bone reattachment
US11730464B2 (en) 2006-02-03 2023-08-22 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
US9510819B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US11786236B2 (en) 2006-02-03 2023-10-17 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US9510821B2 (en) 2006-02-03 2016-12-06 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US10729430B2 (en) 2006-02-03 2020-08-04 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9498204B2 (en) 2006-02-03 2016-11-22 Biomet Sports Medicine, Llc Method and apparatus for coupling anatomical features
US11819205B2 (en) 2006-02-03 2023-11-21 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US9492158B2 (en) 2006-02-03 2016-11-15 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US10603029B2 (en) 2006-02-03 2020-03-31 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US10595851B2 (en) 2006-02-03 2020-03-24 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US11896210B2 (en) 2006-02-03 2024-02-13 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US9402621B2 (en) 2006-02-03 2016-08-02 Biomet Sports Medicine, LLC. Method for tissue fixation
US9468433B2 (en) 2006-02-03 2016-10-18 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9414833B2 (en) 2006-02-03 2016-08-16 Biomet Sports Medicine, Llc Soft tissue repair assembly and associated method
CN101378701B (en) * 2006-02-04 2011-12-07 阿利瓦医药有限公司 U-shaped disc shunt and delivery device
AU2007211231B2 (en) * 2006-02-04 2011-11-24 Aleeva Medical Inc. U-shaped disc-shunt and delivery device
US10531884B2 (en) 2006-02-13 2020-01-14 Asahi Medical Technologies, Inc. Recanalizing occluded vessels using controlled antegrade and retrograde tracking
JP2012152571A (en) * 2006-05-22 2012-08-16 Scandius Biomedical Inc Method and apparatus for meniscal repair
US20080091219A1 (en) * 2006-05-22 2008-04-17 Peter Marshall Method and apparatus for meniscal repair
JP2009538190A (en) * 2006-05-22 2009-11-05 スカンジウス バイオメディカル, インコーポレイテッド Method and apparatus for meniscal repair
US20100121353A1 (en) * 2006-05-22 2010-05-13 Scandius Biomedical, Inc. Method and apparatus for meniscal repair
US7918868B2 (en) * 2006-05-22 2011-04-05 Scandius Biomendical, Inc. Method and apparatus for meniscal repair
WO2007139785A3 (en) * 2006-05-22 2008-11-06 Scandius Biomedical Inc Method and apparatus for meniscal repair
US8926638B2 (en) * 2006-05-22 2015-01-06 Covidien Lp Method and apparatus for meniscal repair
US20110046646A1 (en) * 2006-05-22 2011-02-24 Scandius Biomedical, Inc. Method and apparatus for meniscal repair
US8267948B2 (en) 2006-05-22 2012-09-18 Tyco Healthcare Group Lp Method and apparatus for meniscal repair
US8876842B2 (en) * 2006-05-22 2014-11-04 Covidien Lp Meniscal repair device
AU2007268046B2 (en) * 2006-05-22 2012-08-16 Covidien Lp Method and apparatus for meniscal repair
US20100228271A1 (en) * 2006-05-22 2010-09-09 Peter Marshall Meniscal repair device
US20070282351A1 (en) * 2006-05-31 2007-12-06 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US20100249808A1 (en) * 2006-05-31 2010-09-30 Tyco Healthcare Group Lp Medical Suturing Tool with Gripping Device
US8251998B2 (en) 2006-08-16 2012-08-28 Biomet Sports Medicine, Llc Chondral defect repair
US8777956B2 (en) 2006-08-16 2014-07-15 Biomet Sports Medicine, Llc Chondral defect repair
US10004493B2 (en) 2006-09-29 2018-06-26 Biomet Sports Medicine, Llc Method for implanting soft tissue
US10695045B2 (en) 2006-09-29 2020-06-30 Biomet Sports Medicine, Llc Method and apparatus for attaching soft tissue to bone
US10517714B2 (en) 2006-09-29 2019-12-31 Biomet Sports Medicine, Llc Ligament system for knee joint
US11259794B2 (en) 2006-09-29 2022-03-01 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8500818B2 (en) 2006-09-29 2013-08-06 Biomet Manufacturing, Llc Knee prosthesis assembly with ligament link
US8801783B2 (en) 2006-09-29 2014-08-12 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US9078644B2 (en) 2006-09-29 2015-07-14 Biomet Sports Medicine, Llc Fracture fixation device
US9539003B2 (en) 2006-09-29 2017-01-10 Biomet Sports Medicine, LLC. Method and apparatus for forming a self-locking adjustable loop
US9486211B2 (en) 2006-09-29 2016-11-08 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9918826B2 (en) 2006-09-29 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US7658751B2 (en) 2006-09-29 2010-02-09 Biomet Sports Medicine, Llc Method for implanting soft tissue
US11672527B2 (en) 2006-09-29 2023-06-13 Biomet Sports Medicine, Llc Method for implanting soft tissue
US10835232B2 (en) 2006-09-29 2020-11-17 Biomet Sports Medicine, Llc Fracture fixation device
US9833230B2 (en) 2006-09-29 2017-12-05 Biomet Sports Medicine, Llc Fracture fixation device
US10743925B2 (en) 2006-09-29 2020-08-18 Biomet Sports Medicine, Llc Fracture fixation device
US8562645B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US8231654B2 (en) 2006-09-29 2012-07-31 Biomet Sports Medicine, Llc Adjustable knotless loops
US8672969B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Fracture fixation device
US11096684B2 (en) 2006-09-29 2021-08-24 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US10398430B2 (en) 2006-09-29 2019-09-03 Biomet Sports Medicine, Llc Method for implanting soft tissue
US9788876B2 (en) 2006-09-29 2017-10-17 Biomet Sports Medicine, Llc Fracture fixation device
US8672968B2 (en) 2006-09-29 2014-03-18 Biomet Sports Medicine, Llc Method for implanting soft tissue
US8562647B2 (en) 2006-09-29 2013-10-22 Biomet Sports Medicine, Llc Method and apparatus for securing soft tissue to bone
US9414925B2 (en) 2006-09-29 2016-08-16 Biomet Manufacturing, Llc Method of implanting a knee prosthesis assembly with a ligament link
US9724090B2 (en) 2006-09-29 2017-08-08 Biomet Manufacturing, Llc Method and apparatus for attaching soft tissue to bone
US11376115B2 (en) 2006-09-29 2022-07-05 Biomet Sports Medicine, Llc Prosthetic ligament system for knee joint
US7959650B2 (en) 2006-09-29 2011-06-14 Biomet Sports Medicine, Llc Adjustable knotless loops
US10349931B2 (en) 2006-09-29 2019-07-16 Biomet Sports Medicine, Llc Fracture fixation device
US10610217B2 (en) 2006-09-29 2020-04-07 Biomet Sports Medicine, Llc Method and apparatus for forming a self-locking adjustable loop
US9681940B2 (en) 2006-09-29 2017-06-20 Biomet Sports Medicine, Llc Ligament system for knee joint
US20110098726A1 (en) * 2006-10-05 2011-04-28 Knapp Thomas P Shape memory filament for suture management
US8579923B2 (en) 2006-10-05 2013-11-12 Thomas P. Knapp Shape memory filament for suture management
WO2008045683A1 (en) * 2006-10-05 2008-04-17 Thomas Knapp Shape memory filament for suture management
US8876840B2 (en) 2006-10-05 2014-11-04 Covidien Lp Medical suturing tool with multiple puncture needles
US8282658B2 (en) 2006-10-05 2012-10-09 Knapp Thomas P Shape memory filament for suture management
US9999420B2 (en) 2006-10-05 2018-06-19 Depuy Mitek, Llc Shape memory filament for suture management
US20080255591A1 (en) * 2006-10-05 2008-10-16 Tyco Healthcare Group Lp Medical suturing tool with multiple puncture needles
US10869661B2 (en) 2006-10-05 2020-12-22 Depuy Mitek, Llc Shape memory filament for suture management
US20110098742A1 (en) * 2006-10-05 2011-04-28 Knapp Thomas P Shape memory filament for suture management
US20080086147A1 (en) * 2006-10-05 2008-04-10 Knapp Thomas P Shape memory filament for suture management
US20110098729A1 (en) * 2006-10-05 2011-04-28 Knapp Thomas P Shape memory filament for suture management
US9072514B2 (en) 2006-10-05 2015-07-07 Thomas P. Knapp Shape memory filament for suture management
US11612391B2 (en) 2007-01-16 2023-03-28 Biomet Sports Medicine, Llc Soft tissue repair device and associated methods
US20080200931A1 (en) * 2007-02-20 2008-08-21 Tyco Healthcare Group Lp Auxiliary device for a puncture needle
US8500758B2 (en) 2007-02-20 2013-08-06 Covidien Lp Auxiliary device for a puncture needle
US10729423B2 (en) 2007-04-10 2020-08-04 Biomet Sports Medicine, Llc Adjustable knotless loops
US11185320B2 (en) 2007-04-10 2021-11-30 Biomet Sports Medicine, Llc Adjustable knotless loops
US9017381B2 (en) 2007-04-10 2015-04-28 Biomet Sports Medicine, Llc Adjustable knotless loops
US9861351B2 (en) 2007-04-10 2018-01-09 Biomet Sports Medicine, Llc Adjustable knotless loops
US8915943B2 (en) 2007-04-13 2014-12-23 Ethicon, Inc. Self-retaining systems for surgical procedures
US8793863B2 (en) 2007-04-13 2014-08-05 Ethicon, Inc. Method and apparatus for forming retainers on a suture
US10441273B2 (en) 2007-07-03 2019-10-15 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US8663253B2 (en) 2007-07-03 2014-03-04 Ceterix Orthopaedics, Inc. Methods of meniscus repair
US8920441B2 (en) 2007-07-03 2014-12-30 Ceterix Orthopaedics, Inc. Methods of meniscus repair
US9211119B2 (en) 2007-07-03 2015-12-15 Ceterix Orthopaedics, Inc. Suture passers and methods of passing suture
US8702731B2 (en) 2007-07-03 2014-04-22 Ceterix Orthopaedics, Inc. Suturing and repairing tissue using in vivo suture loading
US8911456B2 (en) 2007-07-03 2014-12-16 Ceterix Orthopaedics, Inc. Methods and devices for preventing tissue bridging while suturing
US20090012538A1 (en) * 2007-07-03 2009-01-08 Justin Saliman Methods and devices for continuous suture passing
US9314234B2 (en) 2007-07-03 2016-04-19 Ceterix Orthopaedics, Inc. Pre-tied surgical knots for use with suture passers
US20110218557A1 (en) * 2007-07-03 2011-09-08 Saliman Justin D Methods of meniscus repair
US20100130990A1 (en) * 2007-07-03 2010-05-27 Saliman Justin D Methods of suturing and repairing tissue using a continuous suture passer device
US8679134B2 (en) * 2007-08-08 2014-03-25 Spirx Pte. Ltd. Methods and devices for delivering sutures in tissue
US20090099578A1 (en) * 2007-08-08 2009-04-16 Spirx Closure, Llc Methods and devices for delivering sutures in tissue
US20090062852A1 (en) * 2007-08-29 2009-03-05 Marino James F Annular repair device and methods
US20090082806A1 (en) * 2007-09-24 2009-03-26 Hs West Investments, Llc Meniscal repair system
US9498893B2 (en) 2007-09-27 2016-11-22 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8777987B2 (en) 2007-09-27 2014-07-15 Ethicon, Inc. Self-retaining sutures including tissue retainers having improved strength
US8821518B2 (en) 2007-11-05 2014-09-02 Ceterix Orthopaedics, Inc. Suture passing instrument and method
US8603112B2 (en) * 2007-11-30 2013-12-10 Easylap Ltd. Suturing assembly and method
US20090143790A1 (en) * 2007-11-30 2009-06-04 Ygal Zucker Suturing assembly and method
US8916077B1 (en) 2007-12-19 2014-12-23 Ethicon, Inc. Self-retaining sutures with retainers formed from molten material
US8771313B2 (en) 2007-12-19 2014-07-08 Ethicon, Inc. Self-retaining sutures with heat-contact mediated retainers
US8118834B1 (en) 2007-12-20 2012-02-21 Angiotech Pharmaceuticals, Inc. Composite self-retaining sutures and method
US9044225B1 (en) 2007-12-20 2015-06-02 Ethicon, Inc. Composite self-retaining sutures and method
US8615856B1 (en) 2008-01-30 2013-12-31 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US8875607B2 (en) 2008-01-30 2014-11-04 Ethicon, Inc. Apparatus and method for forming self-retaining sutures
US20090198248A1 (en) * 2008-02-04 2009-08-06 Yeung Jeffrey E Device for disc shunt implantation and peri-shunt injection
US8088150B2 (en) * 2008-02-04 2012-01-03 Aleeva Medical Inc. Device for disc shunt implantation and peri-shunt injection
US9125647B2 (en) 2008-02-21 2015-09-08 Ethicon, Inc. Method and apparatus for elevating retainers on self-retaining sutures
US8216273B1 (en) 2008-02-25 2012-07-10 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8460338B2 (en) 2008-02-25 2013-06-11 Ethicon, Inc. Self-retainers with supporting structures on a suture
US8641732B1 (en) 2008-02-26 2014-02-04 Ethicon, Inc. Self-retaining suture with variable dimension filament and method
US9724088B2 (en) 2008-03-04 2017-08-08 Cayenne Medical, Inc. Arthroscopic meniscal repair systems and methods
US20090228041A1 (en) * 2008-03-04 2009-09-10 Cayenne Medical, Inc. Arthroscopic meniscal repair systems and methods
WO2009111591A3 (en) * 2008-03-04 2010-04-22 Cayenne Medical, Inc. Arthroscopic meniscal repair systems and methods
US8814885B2 (en) 2008-03-04 2014-08-26 Cayenne Medical, Inc. Arthroscopic meniscal repair systems and methods
JP2011514205A (en) * 2008-03-04 2011-05-06 カイエン メディカル インコーポレイテッド Meniscus repair system and repair method using arthroscope
US8876865B2 (en) 2008-04-15 2014-11-04 Ethicon, Inc. Self-retaining sutures with bi-directional retainers or uni-directional retainers
US8961560B2 (en) 2008-05-16 2015-02-24 Ethicon, Inc. Bidirectional self-retaining sutures with laser-marked and/or non-laser marked indicia and methods
US8968343B2 (en) 2008-06-24 2015-03-03 Covidien Lp Puncturing needle assisting tool
US20090318939A1 (en) * 2008-06-24 2009-12-24 Tyco Healthcare Group Lp Puncturing needle assisting tool
US8152835B2 (en) 2008-06-25 2012-04-10 Tyco Healthcare Group Lp Methods for the placement of sutures in tissue
US20110112557A1 (en) * 2008-07-02 2011-05-12 Antony Hugh Beeley Apparatus and method for laparoscopic port site suture
US11534159B2 (en) 2008-08-22 2022-12-27 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to a bone
US8177795B2 (en) 2008-10-21 2012-05-15 Cayenne Medical, Inc. Meniscal repair systems and methods
US8435253B2 (en) 2008-10-21 2013-05-07 Cayenne Medical, Inc. Meniscal repair systems and methods
US20100106169A1 (en) * 2008-10-21 2010-04-29 Cayenne Medical, Inc. Meniscal repair systems and methods
US8932328B2 (en) 2008-11-03 2015-01-13 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US11234689B2 (en) 2008-11-03 2022-02-01 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US10441270B2 (en) 2008-11-03 2019-10-15 Ethicon, Inc. Length of self-retaining suture and method and device for using the same
US8177796B2 (en) 2009-03-23 2012-05-15 Linvatec Corporation Suture passing apparatus and method
US20100241142A1 (en) * 2009-03-23 2010-09-23 Linvatec Corporation Suture passing apparatus and method
JP2010240418A (en) * 2009-04-01 2010-10-28 Tyco Healthcare Group Lp Meniscal repair device
EP2236094A3 (en) * 2009-04-01 2014-11-12 Covidien LP Meniscal repair device
US20100305583A1 (en) * 2009-05-01 2010-12-02 Cayenne Medical, Inc. Meniscal repair systems and methods
EP2424442A4 (en) * 2009-05-01 2015-05-20 Cayenne Medical Inc Meniscal repair systems and methods
JP2012525237A (en) * 2009-05-01 2012-10-22 キャイーン メディカル,インク. Meniscal repair system and method
AU2010242820B2 (en) * 2009-05-01 2014-12-11 Cayenne Medical, Inc. Meniscal repair systems and methods
WO2010127274A1 (en) * 2009-05-01 2010-11-04 Cayenne Medical, Inc. Meniscal repair systems and methods
US9486208B2 (en) * 2009-05-01 2016-11-08 Cayenne Medical, Inc. Meniscal repair systems and methods
US20170100119A1 (en) * 2009-05-01 2017-04-13 Cayenne Medical, Inc. Meniscal repair systems and methods
US10335140B2 (en) * 2009-05-01 2019-07-02 Cayenne Medical, Inc. Meniscal repair systems and methods
US8343227B2 (en) 2009-05-28 2013-01-01 Biomet Manufacturing Corp. Knee prosthesis assembly with ligament link
US10149767B2 (en) 2009-05-28 2018-12-11 Biomet Manufacturing, Llc Method of implanting knee prosthesis assembly with ligament link
US8900314B2 (en) 2009-05-28 2014-12-02 Biomet Manufacturing, Llc Method of implanting a prosthetic knee joint assembly
US8562631B2 (en) 2009-11-09 2013-10-22 Ceterix Orthopaedics, Inc. Devices, systems and methods for meniscus repair
US10004492B2 (en) 2009-11-09 2018-06-26 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US9011454B2 (en) 2009-11-09 2015-04-21 Ceterix Orthopaedics, Inc. Suture passer with radiused upper jaw
US8808299B2 (en) 2009-11-09 2014-08-19 Ceterix Orthopaedics, Inc. Devices, systems and methods for meniscus repair
US11744575B2 (en) 2009-11-09 2023-09-05 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US20110112556A1 (en) * 2009-11-09 2011-05-12 Saliman Justin D Devices, systems and methods for meniscus repair
US8449533B2 (en) 2009-11-09 2013-05-28 Ceterix Orthopaedics, Inc. Devices, systems and methods for meniscus repair
US10966710B2 (en) 2010-03-31 2021-04-06 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US11672528B2 (en) 2010-03-31 2023-06-13 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US8460322B2 (en) 2010-03-31 2013-06-11 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US9386981B2 (en) 2010-03-31 2016-07-12 Siesta Medical, Inc. Suture passer systems and methods for palate suspension and compression
US10182810B2 (en) 2010-03-31 2019-01-22 Siesta Medical, Inc. Methods for hyoid suspension
US11234692B2 (en) 2010-05-04 2022-02-01 Cilag Gmbh International Self-retaining system having laser-cut retainers
US10420546B2 (en) 2010-05-04 2019-09-24 Ethicon, Inc. Self-retaining systems having laser-cut retainers
US10952721B2 (en) 2010-05-04 2021-03-23 Ethicon, Inc. Laser cutting system and methods for creating self-retaining sutures
US9955962B2 (en) 2010-06-11 2018-05-01 Ethicon, Inc. Suture delivery tools for endoscopic and robot-assisted surgery and methods
US11007296B2 (en) 2010-11-03 2021-05-18 Ethicon, Inc. Drug-eluting self-retaining sutures and methods relating thereto
US9675341B2 (en) 2010-11-09 2017-06-13 Ethicon Inc. Emergency self-retaining sutures and packaging
US10987095B2 (en) 2011-01-10 2021-04-27 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
US10561410B2 (en) 2011-01-10 2020-02-18 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US8500809B2 (en) 2011-01-10 2013-08-06 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US8888848B2 (en) 2011-01-10 2014-11-18 Ceterix Orthopaedics, Inc. Implant and method for repair of the anterior cruciate ligament
US9848868B2 (en) 2011-01-10 2017-12-26 Ceterix Orthopaedics, Inc. Suture methods for forming locking loops stitches
US9913638B2 (en) 2011-01-10 2018-03-13 Ceterix Orthopaedics, Inc. Transosteal anchoring methods for tissue repair
US9888915B2 (en) 2011-02-14 2018-02-13 Smith & Nephew, Inc. Method and device for suture removal
US10492780B2 (en) 2011-03-23 2019-12-03 Ethicon, Inc. Self-retaining variable loop sutures
US11690614B2 (en) 2011-03-23 2023-07-04 Ethicon, Inc. Self-retaining variable loop sutures
US8465505B2 (en) 2011-05-06 2013-06-18 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US20120283750A1 (en) * 2011-05-06 2012-11-08 Saliman Justin D Meniscus repair
US10188382B2 (en) 2011-05-06 2019-01-29 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US9700299B2 (en) 2011-05-06 2017-07-11 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US9247934B2 (en) 2011-05-06 2016-02-02 Ceterix Orthopaedics, Inc. Suture passer devices and methods
US10758222B2 (en) 2011-05-06 2020-09-01 Ceterix Orthopaedics, Inc. Meniscus repair
US9861354B2 (en) * 2011-05-06 2018-01-09 Ceterix Orthopaedics, Inc. Meniscus repair
US8771352B2 (en) 2011-05-17 2014-07-08 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US9216078B2 (en) 2011-05-17 2015-12-22 Biomet Sports Medicine, Llc Method and apparatus for tibial fixation of an ACL graft
US10188384B2 (en) 2011-06-06 2019-01-29 Ethicon, Inc. Methods and devices for soft palate tissue elevation procedures
US10524778B2 (en) 2011-09-28 2020-01-07 Ceterix Orthopaedics Suture passers adapted for use in constrained regions
US8506597B2 (en) 2011-10-25 2013-08-13 Biomet Sports Medicine, Llc Method and apparatus for interosseous membrane reconstruction
US9445827B2 (en) 2011-10-25 2016-09-20 Biomet Sports Medicine, Llc Method and apparatus for intraosseous membrane reconstruction
US9357991B2 (en) 2011-11-03 2016-06-07 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US10265159B2 (en) 2011-11-03 2019-04-23 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US11241305B2 (en) 2011-11-03 2022-02-08 Biomet Sports Medicine, Llc Method and apparatus for stitching tendons
US10368856B2 (en) 2011-11-10 2019-08-06 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9314241B2 (en) 2011-11-10 2016-04-19 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US11534157B2 (en) 2011-11-10 2022-12-27 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9357992B2 (en) 2011-11-10 2016-06-07 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US9370350B2 (en) 2011-11-10 2016-06-21 Biomet Sports Medicine, Llc Apparatus for coupling soft tissue to a bone
US9381013B2 (en) 2011-11-10 2016-07-05 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US10363028B2 (en) 2011-11-10 2019-07-30 Biomet Sports Medicine, Llc Method for coupling soft tissue to a bone
US8535339B2 (en) 2011-12-18 2013-09-17 Via Surgical Ltd. Apparatus and method for suturing
US9782162B2 (en) 2011-12-18 2017-10-10 Via Surgical Ltd. Apparatus and method for suturing
US10751043B2 (en) 2011-12-18 2020-08-25 Via Surgical Ltd Apparatus and method for suturing
US9259217B2 (en) 2012-01-03 2016-02-16 Biomet Manufacturing, Llc Suture Button
US9433407B2 (en) 2012-01-03 2016-09-06 Biomet Manufacturing, Llc Method of implanting a bone fixation assembly
US11096682B2 (en) * 2012-02-07 2021-08-24 Arthrocare Corporation Surgical instrument for manipulating and passing suture
US10369296B2 (en) 2012-03-14 2019-08-06 Becton, Dickinson And Company Angled retracting sheath for safety needle
US8801680B2 (en) * 2012-03-14 2014-08-12 Becton, Dickinson And Company Angled retracting sheath for safety needle
US20130261565A1 (en) * 2012-03-14 2013-10-03 Becton, Dickinson And Company Angled Retracting Sheath for Safety Needle
US9888913B2 (en) 2012-05-31 2018-02-13 Via Surgical Ltd. Variable depth surgical fixation
US10980625B2 (en) 2012-05-31 2021-04-20 Via Surgical Ltd Variable depth surgical fixation
US9511238B2 (en) * 2012-07-26 2016-12-06 Nyxoah SA Implant holder and suture guide
US10258325B2 (en) 2012-07-26 2019-04-16 Nyxoah SA Implant holder and suture guide
US11478240B2 (en) 2012-07-26 2022-10-25 Nyxoah SA Implant holder and suture guide
US9463014B2 (en) 2012-09-07 2016-10-11 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US11064991B2 (en) 2012-09-07 2021-07-20 Siesta Medical, Inc. Tether line systems and methods for tongue or other tissue suspension or compression
US9757119B2 (en) 2013-03-08 2017-09-12 Biomet Sports Medicine, Llc Visual aid for identifying suture limbs arthroscopically
US9993245B2 (en) 2013-03-11 2018-06-12 Via Surgical Ltd. Surgical tacker with quantity indicator
US9918827B2 (en) 2013-03-14 2018-03-20 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10758221B2 (en) 2013-03-14 2020-09-01 Biomet Sports Medicine, Llc Scaffold for spring ligament repair
US10383657B2 (en) 2013-03-15 2019-08-20 The Cleveland Clinic Foundation Devices and methods for tissue graft delivery
US9265524B2 (en) 2013-03-15 2016-02-23 The Cleveland Clinic Foundation Devices and methods for tissue graft delivery
US10820899B2 (en) 2013-09-23 2020-11-03 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US10143464B2 (en) 2013-09-23 2018-12-04 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9247935B2 (en) 2013-09-23 2016-02-02 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US9332980B2 (en) 2013-09-23 2016-05-10 Ceterix Orthopaedics, Inc. Arthroscopic knot pusher and suture cutter
US10245021B2 (en) 2013-10-08 2019-04-02 Applied Medical Technology, Inc Magnetic U-stitch device
US9492162B2 (en) 2013-12-16 2016-11-15 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices and methods
US10524779B2 (en) 2013-12-16 2020-01-07 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices and methods
US10806443B2 (en) 2013-12-20 2020-10-20 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US10136886B2 (en) 2013-12-20 2018-11-27 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US11648004B2 (en) 2013-12-20 2023-05-16 Biomet Sports Medicine, Llc Knotless soft tissue devices and techniques
US11642123B2 (en) 2014-03-05 2023-05-09 Siesta Medical, Inc. Systems and methods for tissue suspension and compression
US11039831B2 (en) 2014-03-05 2021-06-22 Siesta Medical, Inc. Suture passer systems and methods for tongue or other tissue suspension and compression
US10893857B2 (en) * 2014-03-10 2021-01-19 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US20170281153A1 (en) * 2014-03-10 2017-10-05 Biomet Sports Medicine, Llc Method and apparatus for coupling soft tissue to bone
US10537321B2 (en) 2014-04-08 2020-01-21 Ceterix Orthopaedics, Inc. Suture passers adapted for use in constrained regions
US10765420B2 (en) 2014-04-24 2020-09-08 Smith & Nephew, Inc. Suture passer
US9615822B2 (en) 2014-05-30 2017-04-11 Biomet Sports Medicine, Llc Insertion tools and method for soft anchor
US9700291B2 (en) 2014-06-03 2017-07-11 Biomet Sports Medicine, Llc Capsule retractor
US9936943B1 (en) 2014-08-07 2018-04-10 Nicholas MANCINI Suture passing surgical device with atraumatic grasper preventing accidental perforations
US10743856B2 (en) 2014-08-22 2020-08-18 Biomet Sports Medicine, Llc Non-sliding soft anchor
US10039543B2 (en) 2014-08-22 2018-08-07 Biomet Sports Medicine, Llc Non-sliding soft anchor
US11219443B2 (en) 2014-08-22 2022-01-11 Biomet Sports Medicine, Llc Non-sliding soft anchor
US9955980B2 (en) 2015-02-24 2018-05-01 Biomet Sports Medicine, Llc Anatomic soft tissue repair
US10912551B2 (en) 2015-03-31 2021-02-09 Biomet Sports Medicine, Llc Suture anchor with soft anchor of electrospun fibers
US10117648B2 (en) 2015-04-23 2018-11-06 Via Surgical Ltd. Surgical fastener delivery and locking mechanism
US10945726B2 (en) 2015-04-23 2021-03-16 Via Surgical Ltd Surgical fastener delivery and locking mechanism
US10226245B2 (en) 2015-07-21 2019-03-12 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10806442B2 (en) 2015-07-21 2020-10-20 Ceterix Orthopaedics, Inc. Automatically reloading suture passer devices that prevent entanglement
US10405851B2 (en) 2015-09-11 2019-09-10 Applied Medical Resources Corporation Laparoscopic suturing system
US11406373B2 (en) 2015-09-11 2022-08-09 Applied Medical Resources Corporation Laparoscopic suturing system
US10405853B2 (en) 2015-10-02 2019-09-10 Ceterix Orthpaedics, Inc. Knot tying accessory
US11696752B2 (en) 2016-05-26 2023-07-11 Stryker Corporation Systems and methods for all-inside suture fixation for implant attachment and soft tissue repair
US10932769B2 (en) 2016-05-26 2021-03-02 Ivy Sports Medicine, Llc System and method for all-inside suture fixation for implant attachment and soft tissue repair
US10603024B2 (en) 2016-06-17 2020-03-31 Medos International Sarl Devices, systems, and methods for moving tissue within a body
US10682133B2 (en) 2016-10-31 2020-06-16 Smith & Nephew, Inc. Suture passer and grasper instrument and method
US11058414B1 (en) * 2020-12-29 2021-07-13 Arthrex, Inc. Methods of tissue repair with direct pass cinch

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